진균성 접형동염에 의한 시신경병증 1예
A Case of Optic Neuritis Secondary to Fungal Sphenoid Sinusitis
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Abstract
Many information concerning orbital complications of sinus diseases has been published, but reports on optic neuropathy secondary m-municating veins despite intact sinus walls. Optic neuritis is generally defined as an inflamatory neuropathy of the optic nerve usually associated with infectious, inflammatory, compresive, neoplastic or vascular processes. We recently experienced one case of optic neuritis secondary to sphenoid sinus Aspergilosis. A 60-year-old woman with decreased visual acuity and headache was admitted to the Department of Neurology. Suspicious isolated sphenoid lesion on CT and MRI was removed by endoscopic sphenoid sinus and removed by endoscopic surgery. Adjuvant antifungal chemotherapy was tried but discontinued due to severe side effect. The patient recovered from fungal sinusitis but visual disturbance was unchanged.
참고문헌 (20)
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