Coppens S, Petzold A, de Graaf P, de Vries-Knoppert W A E J
VU University Medical Center Amsterdam The Netherlands.
Neuroophthalmology. 2014 Feb 25;38(2):91-95. doi: 10.3109/01658107.2013.874450. eCollection 2014.
Recurrent optic perineuritis can be related to orbital inflammation. Here we present the case of a 46-year-old male patient in whom recurrent episodes of optic perineuritis were related to chronic osteolytic sinusitis following intranasal cocaine abuse. Magnetic resonance imaging (MRI) demonstrated optic perineuritis adjacent to a soft tissue mass that intruded the orbit from the nasal cavity. Computed tomography (CT) confirmed destruction of the medial orbital wall. was cultured and biopsy showed granulomatous tissue. Visual outcome was poor. We review the literature and discuss the diagnostic pitfalls and management implications in relation to optic (peri)neuritis originating from the nasal sinuses.
复发性视神经周围炎可能与眼眶炎症有关。在此，我们报告一例46岁男性患者，其复发性视神经周围炎与鼻内滥用可卡因后发生的慢性溶骨性鼻窦炎有关。磁共振成像（MRI）显示视神经周围炎与一个从鼻腔侵入眼眶的软组织肿块相邻。计算机断层扫描（CT）证实眶内侧壁破坏。进行了培养，活检显示为肉芽肿组织。视觉预后较差。我们回顾了文献，并讨论了与源自鼻窦的视神经（周围）炎相关的诊断陷阱和管理意义。
