Document Detail


Acute optic neuritis: association with paranasal sinus inflammatory changes on magnetic resonance imaging.
MedLine Citation:
PMID:  11147399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors compared the frequency of paranasal sinus inflammatory changes (SIC) on brain magnetic resonance imaging (MRI) obtained from 23 patients with new onset acute optic neuritis (ON) and 48 control patients who underwent outpatient MRI of the brain for reasons other than ON. The authors found a higher frequency of paranasal SIC in patients with ON (83%) than in controls (54%) (p = 0.02). The distribution of paranasal SIC (in ON and in controls) was maxillary (83% and 52%), ethmoid (4% and 2%), frontal (9% and 14%), and sphenoid (4% and 10%). Frequency of the maxillary SIC was significantly higher (p = 0.02) in patients with ON than in controls. Further evaluation of maxillary paranasal SIC with a grading system showed the presence of thickened mucosal lining of the sinuses (grade I) in 17% (ON) and 23% (controls), mucous retention cysts within the sinuses (grade II) in 48% (ON) and 25% (controls), and severe mucosal thickening with complete or near-complete filling of the sinus or an air-fluid level within the sinus (grade III) in 17% (ON) and 4% (controls). Combined frequency of grade II and grade III SIC was significantly higher in the ON group than in controls (p = 0.005), as was the frequency of grade III SIC alone (p = 0.02). Grade I SIC did not significantly differ between the groups. There was a trend (p = 0.09) toward a higher prevalence of bilateral sinus inflammatory changes in patients with bilateral ON. These findings suggest that ON may be associated with sinus inflammatory changes.
Authors:
E Ergene; F W Rupp; C R Qualls; C C Ford
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  10     ISSN:  1051-2284     ISO Abbreviation:  J Neuroimaging     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-11-09     Completed Date:  2000-12-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  209-15     Citation Subset:  IM    
Affiliation:
Department of Neurology, University of New Mexico School of Medicine, 915 Camino de Salud NE, Albuquerque, New Mexico 87131-5281, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Analysis of Variance
Brain / pathology
Child, Preschool
Contrast Media
Ethmoid Sinusitis / diagnosis
Female
Frontal Sinusitis / diagnosis
Gadolinium / diagnostic use
Humans
Magnetic Resonance Imaging*
Male
Maxillary Sinusitis / diagnosis
Middle Aged
Mucocele / diagnosis
Mucous Membrane / pathology
Optic Neuritis / diagnosis*
Retrospective Studies
Sinusitis / diagnosis*
Sphenoid Sinusitis / diagnosis
Statistics, Nonparametric
Chemical
Reg. No./Substance:
0/Contrast Media; 7440-54-2/Gadolinium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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