Document Detail

Peripheral scotoma associated with chronic ethmoidal sinusitis. A case report and review of the literature.
MedLine Citation:
PMID:  9695165     Owner:  NLM     Status:  MEDLINE    
Diseases of the paranasal sinuses may cause visual disturbances, especially diminished visual acuity and visual field defects, by affecting the optic nerve. We report the unusual case of a female patient with unilateral peripheral, quadrantic scotoma and concomitant chronic ethmoidal sinusitis. Visual acuity was not diminished. Despite extensive diagnostic examinations no other cause of the scotoma could be evaluated. As conservative therapy had been unsuccessful, endonasal pansinus operation was performed. Upon surgery, nearly all ethmoidal cells appeared to be filled with polypous mucosa. The sphenoid sinuses, however, contained air. In contrast, pre-operative CT scans had shown only a slight opacity of the ethmoid bone. Already two weeks after surgery a reduction in size of the scotoma could be noted. In addition to this case report, possible causes of visual field defects due to inflammatory diseases of the paranasal sinuses are discussed. In cases of unilateral visual field reduction associated with symptoms of chronic paranasal sinusitis, early operative exploration of the paranasal sinuses should be considered after exclusion of other possible causes, even if radiological findings do not warrant such a procedure.
R Rödel; W Meyer-Riemann; C Hommerich; M Vogel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Rhinology     Volume:  36     ISSN:  0300-0729     ISO Abbreviation:  Rhinology     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-12-10     Completed Date:  1998-12-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0347242     Medline TA:  Rhinology     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  86-9     Citation Subset:  IM    
Department of Otorhinolaryngology, University of Göttingen, Germany.
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MeSH Terms
Chronic Disease
Ethmoid Sinusitis / complications*,  pathology,  surgery
Paranasal Sinuses / pathology,  surgery
Scotoma / etiology*,  physiopathology
Visual Fields

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