Journal of Medical Case Reports | |
Exostosis of the optic canal in a child – a rare diagnosis in a paediatric ear, nose and throat setting: a case report | |
Eva Prívarová3  Dana Pavlovská1  Ivo Šlapák2  Milan Urík2  | |
[1] Department of Paediatric Radiology, Faculty of Medicine, Masaryk University and University Hospital Brno 2, Brno, Czech Republic;Department of Paediatric Otorhinolaryngology, Faculty of Medicine, Masaryk University and University Hospital Brno 1, Cernopolni 9, 61300, Brno, Czech Republic;Paediatric Eye Clinic, Faculty of Medicine, Masaryk University and University Hospital Brno 3, Brno, Czech Republic | |
关键词: Optic nerve; Optic canal; Exostosis; Endonasal surgery; | |
Others : 1180869 DOI : 10.1186/1752-1947-8-454 |
|
received in 2014-02-04, accepted in 2014-11-10, 发布年份 2014 | |
【 摘 要 】
Introduction
Optic nerve compression is an uncommon disorder leading to deterioration or complete loss of vision.
Case presentation
We describe the case of a 14-year-old Caucasian girl with a gradual deterioration of vision in her right eye. Using modern imaging techniques and endonasal endoscopic surgery, we identified the cause and removed the pathology.
Conclusions
The cause of optic nerve compression was a rare exostosis in the optic canal. An endonasal endoscopic approach is the optimal choice for management of optic nerve pathologies. It is a gentle and minimally invasive surgical technique. Interdisciplinary cooperation, especially with the eye doctor and radiologist, is required in these cases.
【 授权许可】
2014 Urík et al.; licensee BioMed Central.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150514101331874.pdf | 1842KB | download | |
Figure 8. | 110KB | Image | download |
Figure 7. | 120KB | Image | download |
Figure 6. | 67KB | Image | download |
Figure 5. | 66KB | Image | download |
Figure 4. | 88KB | Image | download |
Figure 3. | 97KB | Image | download |
Figure 2. | 66KB | Image | download |
Figure 1. | 95KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
Figure 7.
Figure 8.
【 参考文献 】
- [1]Metson R, Pletcher SD: Endoscopic orbital and optic nerve decompression. Otolaryngol Clin North Am 2006, 39:551-561.
- [2]Samii M, Draf W, Lang J: Surgery of the skull base: an interdisciplinary approach. In Anatomy of Optic Nerve Decompression and Anatomy of the Orbit and Adjacent Skull Base in Surgical Anatomy of the Skull Base. Berlin: Springer; 1989:16-19.
- [3]Hart K, Catherine V, Theodosopoulos P, Zimmer L: Anatomy of the optic canal: a computed tomography study of endoscopic nerve decompression. Ann Otol Rhinol Laryngol 2009, 12:839-844.
- [4]Koc K, Anik I, Altintas O, Ceylan S: Endoscopic optic nerve decompression for idiopathic intracranial hypertension in two cases: case report. Minim Invasiv Neurosurg 2008, 51:72-75.
- [5]Maures J, Hinni M, Mann W, Pfeiffer N: Optic nerve decompression in trauma and tumour patients. Eur Arch Otorhinolaryngol 1999, 256:341-345.
- [6]Yuen AP, Kwan KI, Chan E, Kung AW, Lam KS: Endoscopic transnasal orbital decompression for thyrotoxic orbitopathy. Hong Kong Med J 2002, 8:406-410.
- [7]Bracken MB, Holford TR: Effects of timing of methylprednisolone or naloxone administration on recovery of segmental and long-tract neurological function in NASCIS 2. J Neurosurg 1993, 79:500-507.
- [8]Bracken MB, Shepard MJ, Holford TR, Leo-Summers L, Aldrich EF, Fazl M, Fehlings M, Herr DL, Hitchon PW, Marshall LF, Nockels RP, Pascale V, Perot PL Jr, Piepmeier J, Sonntag VK, Wagner F, Wilberger JE, Winn HR, Young W: Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord Injury Study. JAMA 1997, 277:1597-1604.
- [9]Pletcher SD, Metson R: Endoscopic optic nerve decompression for nontraumatic optic neuropathy. Arch Otolaryngol Head Neck Surg 2007, 133:780-783.
- [10]Levin LA, Beck RW, Joseph MP, Seiff S, Kraker R: The treatment of traumatic optic neuropathy: the International Optic Nerve Trauma Study. Ophthalmology 1999, 106:1268-1277.
- [11]Doo-Sik K, Hyung JS, Hyo YK, Seung KC, Do-Hyun N, Jung-Il L, Kwan P, Jong HK: Endoscopic optic canal decompression for compressive optic neuropathy. J Clin Neurosci 2011, 18:1541-1545.
- [12]Catapano D, Sloffer CA, Frank G, Pasquini E, D’Angelo VA, Lanzino G: Comparison between microscope and endoscope in the direct endonasal extended transsphenoidal approach: anatomical study. J Neurosurg 2006, 104:419-425.
- [13]Jho HD: Endoscopic endonasal approach to the optic nerve: a technical note. Minim Invasiv Neurosurg 2001, 44:190-193.