O'Donnell Thomas J, Michael L Madison, Laster Robert, Fleming James C
Hamilton Eye Institute, University of Tennessee, Health Sciences Center, Memphis, TN 38103, USA.
Tenn Med. 2013 May;106(5):37-8, 43.
A 37-year-old man presented with fever, decreased vision in the left eye, a partial left cranial nerve III paresis, and a left cranial nerve VI paresis. Neuro-imaging showed an opacification of a left pneumatised anterior clinoid process. After failing a course of intravenous antibiotics, a craniotomy was performed with exenteration of the cavity and resolution of symptoms. Although rare, a pyocele of a pneumatised anterior clinoid process may cause ocular morbidity and require surgical intervention.
一名37岁男性患者出现发热、左眼视力下降、左侧部分动眼神经麻痹及左侧展神经麻痹。神经影像学检查显示左侧气化前床突混浊。静脉使用抗生素一个疗程无效后，行开颅手术，切除病变腔隙，症状缓解。虽然罕见，但气化前床突积脓可能导致眼部病变，需要手术干预。
