Optic Neuropathy, Secondary to Ethmoiditis, and Onodi Cell Inflammation during Childhood: A Case Report and Review of the Literature
| Autor: | Piero Pavone, Filippo Greco, Milena Di Luca, Pierluigi Smilari, Salvatore Cocuzza, E Pustorino, Agata Fiumara, Paola Di Mauro, Marina Mazzurco |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Visual acuity Sphenoid Sinus genetic structures 030105 genetics & heredity Blindness Diagnosis Differential Optic neuropathy 03 medical and health sciences 0302 clinical medicine Ophthalmology Optic Nerve Diseases medicine Humans Optic neuritis ethmoiditis Child Sinusitis Hemianopsia Inflammation optic neuritis business.industry Headache General Medicine Ischemic optic neuropathy Onodi cell medicine.disease optic neuropathy Magnetic Resonance Imaging eye diseases Ethmoid Bone Pediatrics Perinatology and Child Health Optic nerve Neurology (clinical) medicine.symptom Headaches Tomography X-Ray Computed business 030217 neurology & neurosurgery |
| Popis: | Optic neuropathy consists of several etiological events. The primary etiologies of its acute form include optic neuritis, ischemic optic neuropathy, inflammatory (nondemyelinating) disorders, and trauma. Its subacute and chronic forms are most often linked to compressive, toxic, nutritional, or hereditary-genetic causes. Visual loss, dyschromatopsia, and visual field defects are the presenting symptoms. The Onodi cell (sphenoethmoidal air cell) is an anatomic variant located laterally and superior to the sphenoid sinus; it is closely related to the optic nerve. Onodi cell disorders are rare and may be unnoticed in differential diagnoses of patients with ocular and neurological manifestations. Here, we present the case of a 12-year-old boy with headache and acute loss of sight characterized by hemianopsia in the left eye and retrobulbar optic neuropathy caused by left sphenoethmoidal sinusitis with the presence of Onodi cell inflammation. The diagnosis was confirmed by multilayered paranasal computed tomography and cerebral magnetic resonance imaging. Therapeutic treatment resulted in gradual improvement: at the 2-week follow-up, the patient no longer had headaches and his visual acuity returned to normal. Inflammation of Onodi cells should be considered in children with headache and abnormal vision. |
| Databáze: | OpenAIRE |
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