Mucocele in an Onodi cell with simultaneous bilateral visual disturbance
Mucocele in an Onodi cell with simultaneous bilateral visual disturbance
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DOI：
10.1016/j.anl.2005.11.024
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发表时间：
2006-06-01
影响因子：
1.7
通讯作者：
Furuya, N
中科院分区：
文献类型：
--
作者：
Fukuda, Y;Chikamatsu, K;Furuya, N
Onodi细胞是一个巨大的后筛房，与视神经关系密切。我们提出一个极为罕见的情况下，球后视神经病变所造成的粘液囊肿的Onodi细胞。一位79岁的男性主诉头痛和同时的双侧视力障碍。计算机断层扫描（CT）显示Onodi细胞中有粘液囊肿，累及双侧视神经。经鼻内窥镜手术治疗，视力得到改善。双侧视神经沿两侧壁沿着进入Onodi细胞，伴有骨缺损。在Onodi细胞中，即使病变是孤立的和/或小的，也可能与眼部症状密切相关。影像学检查应考虑鉴别诊断，因为早期诊断和及时手术治疗的粘液囊肿是必要的恢复视力损害。(C)2006年由Elsevier爱尔兰有限公司出版。
The Onodi cell is a large pneumatized posterior ethmoid cell and closely related to optic nerve. We present an extremely rare case of retrobulbar optic neuropathy caused by mucocele in an Onodi cell. A 79-year-old man complained of headaches and simultaneous bilateral visual disturbance. A computed tomography (CT) scan demonstrated a mucocele in an Onodi cell, which involved bilateral optic nerves. The surgical treatment with a transnasal endoscopic approach was performed, resulting in the improving of visual acuity. The bilateral optic nerves were identified along each lateral wall into an Onodi cell accompanied with bone defect. In an Onodi cell, even if the lesion is isolated and/or small, it may be closely related to ocular symptoms. Imaging studies should be considered for the differential diagnosis because early diagnosis and prompt surgical treatment for mucocele are needed for recovery of visual impairment. (C) 2006 Published by Elsevier Ireland Ltd.