Good Visual Outcome Following Corticosteroid Treatment for Compressive Optic Neuropathy Secondary to Sinonasal Carcinoma
| Autor: | Amirah Mohammad Razali, Ayesha Mohd Zain, Wan Haslina Wan Abdul Halim, Norshamsiah Md Din |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures compressive optic neuropathy sinonasal carcinoma Corticosteroid treatment 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Cranial fossa Tapering dose Intravenous methylprednisolone Compressive optic neuropathy business.industry Sinonasal Carcinoma General Engineering eye diseases Ophthalmology medicine.anatomical_structure Radiology medicine.symptom business 030217 neurology & neurosurgery corticosteroid treatment Orbit (anatomy) |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Most patients with sinonasal carcinoma present to the otorhinolaryngologist with nasal symptoms. It is however uncommon for them to present with acute visual loss at first presentation. We report a case of compressive optic neuropathy secondary to sinonasal carcinoma, which presented acutely with right eye blurring of vision upon waking up. Computed tomography (CT) of the brain and orbit with contrast showed a locally invasive nasopharyngeal mass extending into the right orbit and cranial fossa. Histopathological examination revealed squamous cell sinonasal carcinoma. Her visual acuity improved with a three-day course of pulsed intravenous methylprednisolone 1 g per day, followed by a gradual tapering dose of oral prednisolone (1 mg/kg/day). |
| Databáze: | OpenAIRE |
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