Optic neuritis and paranasal sinus diseases

• Autorzy: P. Čelakovský , J. Vokurka , L. Školoudík , J. Růžička
• Języki publikacji: EN

Abstrakty

EN

The relationship of sinusitis and paranasal sinus mucoceles to optic neuritis (ON) remains a challenge for both the otolaryngologist and the ophthalmologist. Currently, ON is assumed to be a rare complication of paranasal sinus diseases. Three new cases of ON associated with paranasal sinus diseases are described. We postulate different pathophysiologic mechanisms of ON in our three patients: compression of optic nerve due to sphenoid mucocele in the first patient; extension of bacterial infection to the optic nerve in the second patient; and invasion of aspergillosis to the orbital apex in the third patient. We assume that the complete recovery of the patient’s vision in the second case resulted from surgery, which had been performed immediately. A timely operation could possibly have prevented permanent blindness in cases 1 and 3 as well. Optic neuritis can occasionally be a complication of bacterial and mycotic sinusitis or paranasal sinus mucoceles, especially if located in the sphenoid sinus and posterior ethmoids. The evaluation of paranasal sinuses using imaging techniques is necessary to diagnose the problem, and immediate surgery can prevent permanent sequelae in indicated cases.

Słowa kluczowe

EN

Optic neuritis; Sinusitis; Mucocele; Endoscopic sinus surgery

• Czasopismo: Open Medicine
• Rocznik: 2011
• Tom: 6
• Numer: 1
• Strony: 117-119

Daty

wydano

2011-02-01

online

2010-12-16

Twórcy

autor

P. Čelakovský

• Faculty of Medicine and University Hospital of Charles University, Sokolská 581, 500 05, Hradec Králové, Czech Republic,

autor

J. Vokurka

• Faculty of Medicine and University Hospital of Charles University, Sokolská 581, 500 05, Hradec Králové, Czech Republic

autor

L. Školoudík

• Faculty of Medicine and University Hospital of Charles University, Sokolská 581, 500 05, Hradec Králové, Czech Republic

autor

J. Růžička

• Faculty of Medicine and University Hospital of Charles University, Sokolská 581, 500 05, Hradec Králové, Czech Republic

Bibliografia

• [1] Rothstein J., Maisel R.H., Berlinger N.T., Wirtschafter J.D., Relationship of optic neuritis to disease of the paranasal sinuses, Laryngoscope, 1984, 94, 1501–1508
• [2] Ergene E., Rupp F.W. Jr., Qualls C.R., Ford C.C., Acute optic neuritis: Association with paranasal sinus inflammatory changes on magnetic resonance imaging, J. Neuroimaging, 2000, 10, 209–215
• [3] Johnson L.N., Hepler R.S., Yee R.D., Batzdorf U., Sphenoid sinus mucocele (anterior clinoid variant) mimicking diabetic ophthalmoplegia and retrobulbar neuritis, Am. J. Ophthalmol., 1986, 102, 111–115 http://dx.doi.org/10.1016/0002-9394(86)90152-2[Crossref]
• [4] Fujitani T., Takahashi T., Rhinogenous optic neuropathy due to muco-pyoceles in the sphenoid sinus and posterior ethmoid cells, Laryngol. Rhinol. Otol., 1984, 63, 361–363 http://dx.doi.org/10.1055/s-2007-1008312[Crossref]
• [5] Takamiya Y., Iimura J., Konno W., Tsukidate T., Haruna S.I., A case of paranasal mycosis invading the orbital apex, Oto-Rhino-Laryngol. Tokyo, 2008, 51, 308–313
• [6] Mardin X.Y., Wolf S., Boswald M., Mayer U., Acute bilateral amaurosis in empyema of the sphenoid sinus, Klin. Monbl. Augenheilkd., 1995, 207, 381–383 http://dx.doi.org/10.1055/s-2008-1035394[Crossref]
• [7] Awerbuch G., Labadie E.L., Van Dalen J.T.W., Reversible optic neuritis secondary to paranasal sinusitis, Eur. Neurol., 1989, 29, 189–193 http://dx.doi.org/10.1159/000116409[Crossref]
• [8] Inoue N., Oshima K., Evaluation of the prognosis of rhinogenic optic neuropathy, Fol. Ophthalmol. Jap., 1996, 47, 425–428
• [9] Shimo-oku M., Miyazaki S., Shiraki K., Sugimoto T., Sotani H., Optic nerve involvement in posterior paranasal sinus diseases, Neuro-Ophthalmol., 1989, 9, 147–155. http://dx.doi.org/10.3109/01658108909010468[Crossref]
• [10] Lee L.A., Huang C.C., Lee T.J., Prolonged visual disturbance secondary to isolated sphenoid sinus disease, Laryngoscope, 2004, 114, 986–990 http://dx.doi.org/10.1097/00005537-200406000-00006[Crossref]

Identyfikatory

DOI

10.2478/s11536-010-0069-7