侵袭性鼻窦息肉导致眼肌麻痹、眼球突出和视野缺损。
Invasive sinonasal polyps causing ophthalmoplegia, exophthalmos, and visual field loss.
作者信息
Kaufman L M, Folk E R, Chow J M
机构信息
Department of Ophthalmology, University of Illinois College of Medicine, Chicago 60612.
出版信息
Ophthalmology. 1989 Nov;96(11):1667-72. doi: 10.1016/s0161-6420(89)32673-x.
In a 20-year-old man with a history of sinonasal polyps, bilateral ophthalmoplegia, exophthalmos, and optic nerve dysfunction developed. Radiologic imaging showed a polypoid mass filling the nose and sinuses, eroding into the pituitary fossa, basal cisterns, and orbits, and compressing the cavernous sinuses. Six months after bilateral maxillary, ethmoid, and sphenoid exploration, ocular motility returned to normal, but there remained mild generalized visual field loss in the right eye. The pathologic specimen showed polypoid respiratory mucosa with acute and chronic inflammation as well as eosinophiles.
一名20岁男性，有鼻窦息肉病史，出现双侧眼肌麻痹、眼球突出及视神经功能障碍。放射影像学检查显示一个息肉样肿物充满鼻腔和鼻窦，侵蚀至垂体窝、脑基底池及眼眶，并压迫海绵窦。双侧上颌窦、筛窦和蝶窦探查术后6个月，眼球运动恢复正常，但右眼仍存在轻度的广泛性视野缺损。病理标本显示为伴有急慢性炎症及嗜酸性粒细胞的息肉样呼吸黏膜。
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