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视神经乳头水肿与鼻窦炎

Swollen Optic Disc and Sinusitis.

作者信息

Del Noce Chiara, Marchi Filippo, Sollini Giacomo, Iester Michele

机构信息

Anatomical-Clinical Laboratory for Functional Diagnosis and Treatment of Glaucoma and Neuroophthalmology, Eye Clinic, DiNOGMI, University of Genoa, Genoa, Italy.

Otorhinolaryngology Clinic, University of Genoa, Genoa, Italy.

出版信息

Case Rep Ophthalmol. 2017 Aug 3;8(2):421-424. doi: 10.1159/000476057. eCollection 2017 May-Aug.

Abstract

PURPOSE

To present a case of optic disc swelling caused by sinusitis.

METHODS

Ocular symptoms were investigated using computed tomography imaging of the facial bones to detect the relationship between the sinus inflammation and the optic nerve.

RESULTS

A particular configuration of the optic nerve was detected. Optic nerve course through the inflamed sphenoidal sinus is a condition associated with a greater risk of inflammation.

CONCLUSION

Sinusitis is a rare but treatable cause of optic neuritis. The choice of the correct radiological investigation to be done to set up a proper treatment of the sinus pathological condition is also essential for the resolution of ocular symptoms.

摘要

目的

报告一例由鼻窦炎引起的视盘肿胀病例。

方法

通过面部骨骼的计算机断层扫描成像来研究眼部症状,以检测鼻窦炎症与视神经之间的关系。

结果

检测到视神经的一种特殊形态。视神经经过发炎的蝶窦是一种与更高炎症风险相关的情况。

结论

鼻窦炎是视神经炎的一种罕见但可治疗的病因。选择正确的影像学检查以对鼻窦病理状况进行适当治疗,对于缓解眼部症状也至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8560/5597926/437e6cc46716/cop-0008-0421-g01.jpg

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本文引用的文献

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Retrobulbar optic neuropathy secondary to isolated sphenoid sinus disease.
J Neurosci Rural Pract. 2015 Apr-Jun;6(2):238-40. doi: 10.4103/0976-3147.153233.
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Optic neuropathy due to allergic fungal rhinosinusitis.
J Neurosci Rural Pract. 2011 Jul;2(2):180-2. doi: 10.4103/0976-3147.83589.
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Analysis of the causes of optic disc swelling.
Korean J Ophthalmol. 2011 Feb;25(1):33-6. doi: 10.3341/kjo.2011.25.1.33. Epub 2011 Jan 17.

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