{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T03:19:31Z","timestamp":1790479171149,"version":"4.1.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>\u201cGuitar pick sign,\u201d also referred to as posterior globe tenting, is a radiological surrogate marker of tense orbit and profound vision loss. It is seen commonly in traumatic retrobulbar hemorrhage and carotico-cavernous fistula and less frequently in orbital cellulitis, subperiosteal abscess, and invasive fungal infections. We report a case series of Coronavirus disease-19\u2013associated rhino-orbito-cerebral mucormycosis with guitar pick sign, of which none survived, and discuss the causative pathomechanisms, severity grade, and the clinical relevance of this unique radiological finding.<\/jats:p>","DOI":"10.4103\/ijo.ijo_2598_21","type":"journal-article","created":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T07:53:23Z","timestamp":1648454003000},"page":"1425-1427","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Decoding \u201cguitar pick sign\u201d in COVID-19\u2013associated mucormycosis: A case series"],"prefix":"10.4103","volume":"70","author":[{"given":"Y Muralidhar","family":"Reddy","sequence":"first","affiliation":[{"name":"Department of Neurology and Pathology, CARE Hospital, Banjara Hills, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhendu","family":"Parida","sequence":"additional","affiliation":[{"name":"Department of Neurology and Pathology, CARE Hospital, Banjara Hills, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S Bharathi","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Neurology and Pathology, CARE Hospital, Banjara Hills, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sreekanth","family":"Yeduguri","sequence":"additional","affiliation":[{"name":"Department of Neurology and Pathology, CARE Hospital, Banjara Hills, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalitha","family":"Pidaparthi","sequence":"additional","affiliation":[{"name":"Department of Neurology and Pathology, CARE Hospital, Banjara Hills, Hyderabad, Telangana, 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