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Titolo:
Fronto-naso-ethmoido-sphenoido-maxillo-orbital mucocele revealed by an ophthalmologic complication
Autore:
Girard, B; Choudat, L; Hamelin, N; Agbaguede, I; Iba-Zizen, MT; Brasnu, D; Cabanis, EA;
Indirizzi:
Hop R Ballanger, Serv Ophtalmol, F-93602 Aulnay Sous Bois, France Hop R Ballanger Aulnay Sous Bois France F-93602 Aulnay Sous Bois, France
Titolo Testata:
JOURNAL FRANCAIS D OPHTALMOLOGIE
fascicolo: 5, volume: 22, anno: 1999,
pagine: 536 - 540
SICI:
0181-5512(199905)22:5<536:FMRBAO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
FRE
Soggetto:
SINUS MUCOCELES; VISUAL-LOSS;
Keywords:
mucocele; compressive optic neuropathy; magnetic resonance imaging;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Girard, B Hop R Ballanger, Serv Ophtalmol, F-93602 Aulnay Sous Bois, France Hop R Ballanger Aulnay Sous Bois France F-93602 s Bois, France
Citazione:
B. Girard et al., "Fronto-naso-ethmoido-sphenoido-maxillo-orbital mucocele revealed by an ophthalmologic complication", J FR OPHTAL, 22(5), 1999, pp. 536-540

Abstract

Purpose: We present a case of a large mucocele pressing the orbit forward and compared our findings with those reported by others. Case report: A 23-year-old woman was examined for an inflammatory tumor ofthe internal canthus. She had a 6/10 vision loss of the left eye, diplopia, and non-axial exophthalmos. CT scan and magnetic resonance imaging evidenced a huge sinus mucocele behind the orbit. Surgery using the paralateronasal approach was performed. Pathology confirmed the diagnosis of mucocele. Discussion: Ophthalmic complications of mucoceles result from tumor growthleading to compressive optic neuropathy or even compression of the chiasma. A sinus mucocele should be suspected upon indirect clinical signs and lead to neuroradiological explorations. Magnetic resonance imaging reveals iso- or high signals on T1-weighted sequences and high signal on T2-weighted sequences. MRI evidences intracranial or orbital extension. CT Scan reveal the degree of bone erosion. Prognosis is favorable after surgical treatment. It is important to correctly diagnose mucocele on the basis of clinical and neuroradiological findings in order to propose early surgery and prevent permanent visual loss by compressive optic neuropathy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 10:02:04