视力完全恢复的鼻源性视神经炎——内镜下视神经减压术的作用及文献综述
Rhinogenous optic neuritis with full recovery of vision - The role of endoscopic optic nerve decompression and a review of literature.
作者信息
Neo W L, Chin D C W, Huang X Y
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Changi General Hospital, Singapore, 2 Simei Street 3, Singapore 529889, Singapore.
Department of Otorhinolaryngology-Head and Neck Surgery, Changi General Hospital, Singapore, 2 Simei Street 3, Singapore 529889, Singapore.
出版信息
Am J Otolaryngol. 2018 Nov-Dec;39(6):791-795. doi: 10.1016/j.amjoto.2018.08.008. Epub 2018 Aug 29.
BACKGROUND
Optic neuritis resulting from paranasal sinusitis is an infrequently described but clinically important and treatable entity. The role of optic nerve decompression has been well established in atraumatic optic neuropathies which are compressive in origin. However, its role in optic neuritis and other infective or inflammatory processes is lacking, and the role for early surgical intervention remains controversial.
CASE REPORT
In this case report, we describe a patient who presented with sudden onset of right vision loss secondary to optic neuritis from pansinusitis. He was treated with systemic antibiotics and steroids along with an urgent endoscopic sinus surgery with optic nerve decompression. Full restoration of his vision was recorded within 24 h of surgical decompression.
CONCLUSION
Optic neuritis secondary to paranasal sinusitis is a clinically important entity and timely diagnosis and decompression is key to vision restoration.
背景
鼻窦炎性视神经炎虽较少被描述，但在临床上具有重要意义且可治疗。视神经减压术在起源于压迫性的非创伤性视神经病变中的作用已得到充分证实。然而，其在视神经炎及其他感染性或炎症性疾病中的作用尚不清楚，早期手术干预的作用仍存在争议。
病例报告
在本病例报告中，我们描述了一名因全鼻窦炎继发视神经炎而突然出现右眼视力丧失的患者。他接受了全身抗生素和类固醇治疗，并紧急进行了内镜鼻窦手术及视神经减压术。手术减压后24小时内视力完全恢复。
结论
鼻窦炎性视神经炎是一种临床上重要的疾病，及时诊断和减压是视力恢复的关键。
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