[与前床突黏液囊肿相关的压迫性视神经病变]
[Compressive optic neuropathy related to an anterior clinoid mucocele].
作者信息
Arnavielle S, Vignal-Clermont C, Galatoire O, Jacomet P-V, Klap P, Boissonnet H, Berges O, Morax S
机构信息
Service de chirurgie plastique et reconstructive ophtalmologique, Fondation ophtalmologique Adolphe de Rothschild, Paris, France.
出版信息
J Fr Ophtalmol. 2010 Mar;33(3):208.e1-6. doi: 10.1016/j.jfo.2010.01.004. Epub 2010 Feb 24.
Nasal sinus mucoceles are an uncommon cause of painful optic neuropathy. We report the case of a patient presenting an acute compressive optic neuropathy related to an anterior clinoid mucocele. The diagnosis was mainly made with CT and MRI, and the patient was treated with endoscopic endonasal transseptal surgery 10 days after the beginning of the disorder. Visual recovery was complete 3 days later. We review the literature on the etiologies of this type of pathology, the work-up, and the possible treatments.
鼻窦黏液囊肿是引起疼痛性视神经病变的罕见原因。我们报告一例与前床突黏液囊肿相关的急性压迫性视神经病变患者。诊断主要依靠CT和MRI完成，患者在发病10天后接受了鼻内镜经鼻中隔手术治疗。3天后视力完全恢复。我们回顾了关于此类病变的病因、检查方法及可能治疗手段的文献。
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