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Sphenoid sinus dehiscence as a risk for visual consequences in an immunocompromised patient.
- Source :
-
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society [J La State Med Soc] 2014 Mar-Apr; Vol. 166 (2), pp. 70-2. Date of Electronic Publication: 2014 Apr 10. - Publication Year :
- 2014
-
Abstract
- Isolated sphenoid sinus disease is a rare entity with severe and potentially life threatening sequela. Because of the proximity of the sinus to the orbit, anatomical defects within the surrounding bony structures can facilitate communication with orbital content, predisposing the patient to substantial visual consequences. We report a case of a 51-year-old immunocompromised male who presented with headache and gradual unilateral decreases in vision. Computed tomography revealed opacification of the left sphenoid sinus accompanied by unusual bony dehiscence of the proximal optic canal. Early recognition and treatment of sphenoid sinusitis requires urgent surgical intervention with delay of treatment potentially leading to irreversible blindness or other devastating consequences. Bony dehiscence of the sphenoid sinus overlying the optic nerve has only been found in 4% of cadavers. It is associated with increased risk of orbital complications and predicts a poor prognosis. Immediate intervention is particularly important in immunocompromised individuals who are at greater risk of these severe complications.
- Subjects :
- Blindness etiology
Blindness immunology
Blindness pathology
Blindness prevention & control
Humans
Male
Middle Aged
Optic Nerve immunology
Optic Nerve pathology
Sphenoid Sinusitis complications
Sphenoid Sinusitis immunology
Sphenoid Sinusitis pathology
Sphenoid Sinusitis surgery
Immunocompromised Host
Orbit immunology
Orbit pathology
Orbit surgery
Orbital Diseases etiology
Orbital Diseases immunology
Orbital Diseases pathology
Orbital Diseases prevention & control
Sphenoid Sinus immunology
Sphenoid Sinus pathology
Sphenoid Sinus surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0024-6921
- Volume :
- 166
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
- Publication Type :
- Academic Journal
- Accession number :
- 25075599