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蝶窦黏液囊肿，模拟球后视神经炎。

A sphenoid sinus mucocele simulating as retro bulbar optic neuritis.

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2012 May-Jun;60(3):216-8. doi: 10.4103/0301-4738.95876.

DOI:10.4103/0301-4738.95876
PMID:22569385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3361819/
Abstract

A 25-year-old male presented with complaints of sudden diminution of vision with pain on eye movement in the left eye which was diagnosed clinically as retro bulbar optic neuritis. However, magnetic resonance imaging (MRI) showed lesion consistent with sphenoid sinus mucocele. Early surgical removal of mucocele led to complete recovery of vision, contrast and visual field. A high index of suspicion is necessary for intracranial lesions in all cases of retro bulbar neuritis, especially those with atypical symptoms.

摘要

一位 25 岁男性因左眼眼球运动时疼痛伴视力突然下降就诊，临床诊断为球后视神经炎。然而，磁共振成像（MRI）显示符合蝶窦黏液囊肿的病变。黏液囊肿的早期手术切除导致视力、对比敏感度和视野完全恢复。所有球后视神经炎病例，尤其是那些症状不典型的病例，都需要对颅内病变保持高度警惕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/512ffa8e7bdf/IJO-60-216-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/a72c7776f683/IJO-60-216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/a58cde99ecbd/IJO-60-216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/1fe2edf08033/IJO-60-216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/fa6283749e13/IJO-60-216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/3b291ac3bf64/IJO-60-216-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/5936e72985f1/IJO-60-216-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/e40ed8fc56de/IJO-60-216-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/512ffa8e7bdf/IJO-60-216-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/a72c7776f683/IJO-60-216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/a58cde99ecbd/IJO-60-216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/1fe2edf08033/IJO-60-216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/fa6283749e13/IJO-60-216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/3b291ac3bf64/IJO-60-216-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/5936e72985f1/IJO-60-216-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/e40ed8fc56de/IJO-60-216-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/175a/3361819/512ffa8e7bdf/IJO-60-216-g008.jpg

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本文引用的文献

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Sphenoid sinus mucocele presenting as a third cranial nerve palsy.表现为动眼神经麻痹的蝶窦黏液囊肿
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一名潜水员因蝶窦黏液囊肿出现急性视力丧失
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AJNR Am J Neuroradiol. 1996 Apr;17(4):669-75.
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