Individualized Homoeopathic Management of a Left Orbital Apex Lesion with Headache and Visual Impairment: A case report

Nilanjana Chattopadhyay; Abhijit Chattopadhyay; Anamitra Chattopadhyay; Priya Debnath; Tanudipta Halder; Anil Kumar Mandi

doi:10.37022/wjcmpr.v8i3.438

Authors

Nilanjana Chattopadhyay Professor and Head, Department of Homoeopathic Materia Medica (P.G.), L. R. Shah Homoeopathy College, Rajkot, Gujarat, India.
Abhijit Chattopadhyay Principal, Tripura Government Homoeopathic Medical College, Tripura, India.
Anamitra Chattopadhyay Consultant Homoeopathic Physician, Similia Homoeopathic Clinic, Kolkata, West Bengal, India.
Priya Debnath Assistant Professor, Department of Community Medicine, L. R. Shah Homoeopathy College, Rajkot, Gujarat, India.
Tanudipta Halder Assistant Professor, Department of Research Methodology and Biostatistics (P.G.), L. R. Shah Homoeopathy College, Rajkot, Gujarat, India.
Anil Kumar Mandi Assistant Professor, Department of Organon of Medicine (P.G.), L. R. Shah Homoeopathy College, Rajkot, Gujarat, India.

Abstract

Background: Orbital apex lesions may present with unilateral headache and visual impairment. Their clinical course and radiological findings require careful interpretation because inflammatory and neoplastic conditions may have overlapping presentations.

Case presentation: A 33-year-old woman attended a private homoeopathic clinic on 24 January 2020 with severe left temporal and supraorbital headache, nausea, facial redness and congestion, visual impairment, and debility. Baseline MRI demonstrated a 37 × 18 × 12 mm enhancing left orbital apex lesion with optic nerve compression and cavernous sinus extension. A provisional diagnosis of Tolosa-Hunt syndrome was made on clinical assessment. The patient had previously used an analgesic. Individualized Belladonna 10M was prescribed as a single dose and repeated once following symptom recurrence, with placebo between prescriptions. During follow-up, headache and associated symptoms resolved, and on clinical follow-up, complete recovery of vision was reported. At the final documented consultation on 20 February 2021, the patient was free from her presenting complaints. Follow-up MRI described a persistent lesion measuring 17.4 × 11.7 × 13.7 mm, with a smaller maximum reported dimension and an impression of possible meningioma. Financial constraints prevented further investigation.

Conclusion: This case documents complete clinical remission of the presenting complaints during individualized homoeopathic care, accompanied by a smaller maximum reported dimension of a persistent orbital apex lesion. Clinical recovery did not establish the lesion’s underlying pathology or a causal treatment effect.

Keywords:

Tolosa-Hunt syndrome, Individualized Homoeopathic Medicine, Belladonna, visual Impairment, orbital apex lesion

DOI

https://doi.org/10.37022/wjcmpr.v8i3.438

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