Hayman L A, Carter K, Schiffman J S, Tang R A
Department of Radiology, Baylor College of Medicine, Houston, TX, USA.
Surv Ophthalmol. 1996 Nov-Dec;41(3):252-4. doi: 10.1016/s0039-6257(96)80027-0.
This report describes a patient with a headache and a bitemporal hemianopsia immediately following endoscopic ethmoid and sphenoid sinus surgery. Computed tomographic imaging revealed tension pneumocephalus caused by surgical interruption of the boundaries between the sinus(es) and the anterior cranial cavity. The delineation of the central chiasmal injury required follow-up magnetic resonance imaging.
本报告描述了一名患者,在内镜筛窦和蝶窦手术后立即出现头痛和双颞侧偏盲。计算机断层扫描成像显示,鼻窦与前颅腔之间边界的手术中断导致了张力性气颅。中央视交叉损伤的诊断需要后续的磁共振成像检查。