부비동염에 속발한 구후신경염 환자에서 시신경 감압술 1예
- Alternative Title
- A Case of Optic Nerve Decompression in a Patient with Retrobulbar Neuritis Secondary to Paranasal Sinusitis
- Abstract
- Optic neuritis (ON) is an acute or subacute inflammatory or demyelination process affecting the optic nerve. ON can be classified ophthalmologically as retrobulbar neuritis, papillitis, neuroretinitis. Retrobulbar neuritis, in which the optic disc appearance is normal, is the most common type of ON in adults. Multiple sclerosis is the most common cause of ON, but in many cases no apparent etiology is found. Paranasal sinusitis as a cause of ON is rare. Management of retrobulbar neuritis which is combined with paranasal sinusitis is controversial. Recently, we experienced a case of retrobulbar neuritis which was combined with paranasal sinusitis without orbital complication. It was treated by endoscopic sinus surgery and endoscopic optic nerve decompression in addition to intravenous antibiotics and corticosteroids. Visual acuity was improved nearly to a normal state after the treatment. The most possible pathophysiologic mechanism of retrobulbar neuritis may be the direct spread of infection of the sphenoid sinus to the optic nerve.
- All Author(s)
- B. J. Baek
; H. J. Kim
; J. H. Choi
; C. H. Oh
- Issued Date
- 2000
- Type
- Article
- Keyword
- Optic neuritis; Sinusitis; Optic nerve; Decompression
- Publisher
- 대한이비인후과학회
Korean Society of Otorhinolaryngology-Head and Neck Surgery
- ISSN
- 1225-035X
- Citation Title
- 대한이비인후과학회지
Korean Journal of Otorhinolaryngology-Head and Neck Surgery
- Citation Volume
- 43
- Citation Number
- 12
- Citation Start Page
- 1355
- Citation End Page
- 1358
- Language(ISO)
- kor
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2933
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