Kiselev A S, Gofman V R, Lushnikova T A
Vestn Otorinolaringol. 1994 May-Jun(3):14-8.
The paper provides data on a comprehensive rhinological and x-ray examination of 201 patients suffering from optochiasmal arachnoiditis (OCA). Paranasal affection (as a rule polysinusitis) was disclosed in 75.6% of the examinees. The lesion occurred primarily in the sphenoidal sinuses and frequently combined with ethmoidal labyrinth and maxillary sinus involvement. Rhinological and x-ray symptoms in OCA are rarely prominent giving grounds to physicians for defining it as the syndrome of minor clinical signs. The latter hold importance for diagnosis which enables early cleansing of the paranasal sinuses in combined treatment of OCA.
该论文提供了对201例患有视交叉蛛网膜炎(OCA)患者进行全面鼻科和X线检查的数据。75.6%的受检者存在鼻旁窦病变(通常为多鼻窦炎)。病变主要发生在蝶窦,且常合并筛窦迷路和上颌窦受累。OCA的鼻科和X线症状很少显著,这使得医生将其定义为轻微临床体征综合征。后者对诊断很重要,在OCA的联合治疗中有助于早期清洁鼻旁窦。