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Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases

BACKGROUND: Visual disturbances associated with isolated sphenoid sinus inflammatory diseases (ISSIDs) are easily misdiagnosed due to the nonspecific symptoms and undetectable anatomical location. The main objective of this retrospective case series is to investigate the clinical features of visual...

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Autores principales: Chen, Lanlan, Jiang, Libin, Yang, Bentao, Subramanian, Prem S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717843/
https://www.ncbi.nlm.nih.gov/pubmed/29212484
http://dx.doi.org/10.1186/s12886-017-0634-9
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author Chen, Lanlan
Jiang, Libin
Yang, Bentao
Subramanian, Prem S.
author_facet Chen, Lanlan
Jiang, Libin
Yang, Bentao
Subramanian, Prem S.
author_sort Chen, Lanlan
collection PubMed
description BACKGROUND: Visual disturbances associated with isolated sphenoid sinus inflammatory diseases (ISSIDs) are easily misdiagnosed due to the nonspecific symptoms and undetectable anatomical location. The main objective of this retrospective case series is to investigate the clinical features of visual disturbances secondary to ISSIDs. METHODS: Clinical data of 23 patients with unilateral or bilateral visual disturbances secondary to ISSIDs from 2004 to 2014 with new symptoms were collected. Collected data including symptoms, signs, neuroimaging and pathologic diagnosis were analyzed. RESULTS: There were 14 males and 9 females, and their ages ranged from 31 to 83 years. Fifteen patients suffered blurred vision and 11 patients suffered binocular double vision, including 3 patients who had unilateral visual changes and diplopia simultaneously. Headache was observed in 18 patients, and orbit pain/ocular pain in 8 patients. Other presenting symptoms included ptosis (4 patients) and proptosis (1 patient). Only 5 patients had nasal complaints. The corrected visual acuities were between NLP to 20/20. Patients with diplopia included 5 with unilateral oculomotor nerve palsy and 6 with unilateral abducens nerve palsy. All patients performed orbital/sinus/brain radiologic examination and found responsible lesions in sphenoid sinus. All patients underwent endoscopic sinus surgery, and 9 patients were found to suffer sphenoid mucocele, 9 with fungal sinusitis, and 5 with sphenoid sinusitis. Visual disturbances improved in 6 patients, and all the patients with diplopia had a postoperative recovery. CONCLUSION: Visual disturbances resulting from ISSIDs are relatively uncommon, but it is crucial that the patient with new vision loss or diplopia and persistent headache or orbit pain be evaluated for the possibility of ISSIDs especially before corticosteroid administration.
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spelling pubmed-57178432017-12-08 Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases Chen, Lanlan Jiang, Libin Yang, Bentao Subramanian, Prem S. BMC Ophthalmol Research Article BACKGROUND: Visual disturbances associated with isolated sphenoid sinus inflammatory diseases (ISSIDs) are easily misdiagnosed due to the nonspecific symptoms and undetectable anatomical location. The main objective of this retrospective case series is to investigate the clinical features of visual disturbances secondary to ISSIDs. METHODS: Clinical data of 23 patients with unilateral or bilateral visual disturbances secondary to ISSIDs from 2004 to 2014 with new symptoms were collected. Collected data including symptoms, signs, neuroimaging and pathologic diagnosis were analyzed. RESULTS: There were 14 males and 9 females, and their ages ranged from 31 to 83 years. Fifteen patients suffered blurred vision and 11 patients suffered binocular double vision, including 3 patients who had unilateral visual changes and diplopia simultaneously. Headache was observed in 18 patients, and orbit pain/ocular pain in 8 patients. Other presenting symptoms included ptosis (4 patients) and proptosis (1 patient). Only 5 patients had nasal complaints. The corrected visual acuities were between NLP to 20/20. Patients with diplopia included 5 with unilateral oculomotor nerve palsy and 6 with unilateral abducens nerve palsy. All patients performed orbital/sinus/brain radiologic examination and found responsible lesions in sphenoid sinus. All patients underwent endoscopic sinus surgery, and 9 patients were found to suffer sphenoid mucocele, 9 with fungal sinusitis, and 5 with sphenoid sinusitis. Visual disturbances improved in 6 patients, and all the patients with diplopia had a postoperative recovery. CONCLUSION: Visual disturbances resulting from ISSIDs are relatively uncommon, but it is crucial that the patient with new vision loss or diplopia and persistent headache or orbit pain be evaluated for the possibility of ISSIDs especially before corticosteroid administration. BioMed Central 2017-12-06 /pmc/articles/PMC5717843/ /pubmed/29212484 http://dx.doi.org/10.1186/s12886-017-0634-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Chen, Lanlan
Jiang, Libin
Yang, Bentao
Subramanian, Prem S.
Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases
title Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases
title_full Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases
title_fullStr Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases
title_full_unstemmed Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases
title_short Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases
title_sort clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717843/
https://www.ncbi.nlm.nih.gov/pubmed/29212484
http://dx.doi.org/10.1186/s12886-017-0634-9
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