Optıc Neuropathy Secondary to Inflammation of Sphenoidal Sinuses and Onodi Cell Polyps: A Case Report

Taflan, Tuğba; Güngör, İnci; Kurnaz, Senem Çengel; Güngör, Levent

doi:10.3109/09273948.2013.766215

Cited by 8 publications

(9 citation statements)

References 4 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Taflan et al 12 reported a study of a 61-year-old woman with optic neuropathy due to lesions in the Onodi cell. This patient presented, within a few days, progressive loss of vision in her right eye.…”

Section: Discussionmentioning

confidence: 99%

Optic Neuropathy, Secondary to Ethmoiditis, and Onodi Cell Inflammation during Childhood: A Case Report and Review of the Literature

et al. 2019

View full text Add to dashboard Cite

Optic neuropathy consists of several etiological events. The primary etiologies of its acute form include optic neuritis, ischemic optic neuropathy, inflammatory (nondemyelinating) disorders, and trauma. Its subacute and chronic forms are most often linked to compressive, toxic, nutritional, or hereditary-genetic causes. Visual loss, dyschromatopsia, and visual field defects are the presenting symptoms. The Onodi cell (sphenoethmoidal air cell) is an anatomic variant located laterally and superior to the sphenoid sinus; it is closely related to the optic nerve. Onodi cell disorders are rare and may be unnoticed in differential diagnoses of patients with ocular and neurological manifestations. Here, we present the case of a 12-year-old boy with headache and acute loss of sight characterized by hemianopsia in the left eye and retrobulbar optic neuropathy caused by left sphenoethmoidal sinusitis with the presence of Onodi cell inflammation. The diagnosis was confirmed by multilayered paranasal computed tomography and cerebral magnetic resonance imaging. Therapeutic treatment resulted in gradual improvement: at the 2-week follow-up, the patient no longer had headaches and his visual acuity returned to normal. Inflammation of Onodi cells should be considered in children with headache and abnormal vision.

show abstract

Section: Discussionmentioning

confidence: 99%

Optic Neuropathy, Secondary to Ethmoiditis, and Onodi Cell Inflammation during Childhood: A Case Report and Review of the Literature

et al. 2019

View full text Add to dashboard Cite

show abstract

“…[11][12][13][14][15][16][17][18] This can present with sudden, or occasionally gradual, unilateral loss of vision, often with associated pain. 19,20 Visual loss from sphenoid sinus disease in the absence of a sphenoethmoidal cell is much less commonly reported. 14 The optic neuropathy is thought to be caused by: direct mechanical compression of the optic nerve, vascular thrombosis due to compression, or optic neuritis secondary to the inflammatory reaction.…”

Section: Case Fourmentioning

confidence: 99%

Visual loss in patients with sphenoethmoidal cells

2015

View full text Add to dashboard Cite

show abstract

“…[ 7 ] There have been some sporadic case reports on the inflammation of the sphenoid sinus causing optic neuropathy. [ 10 , 24 ] Our study is meaningful in that it is the first to demonstrate the association between sphenoid sinusitis and optic nerve change.…”

Section: Discussionmentioning

confidence: 80%

“…[ 7 ] Even bony dehiscence of the sphenoid sinus directly over the optic nerve has also been found in 4% of cadavers. [ 8 , 9 ] There have been sporadic reports of optic neuropathy caused by a mechanical compression of the optic nerve, circulatory disturbance of the vasa nervorum due to mechanical compression, and optic neuritis due to inflammation, such as polyps in the Onodi cell,[ 10 ] invasive sino-orbital aspergillosis,[ 11 ] acute bacterial sphenoid sinusitis,[ 12 ] eosinophilic mucin rhinosinusitis,[ 13 ] allergic fungal sinusitis,[ 14 ] and sinusitis adjacent to optic nerve. [ 15 ]…”

Section: Introductionmentioning

confidence: 99%

Optic nerve changes in chronic sinusitis patients: Correlation with disease severity and relevant sinus location

Kim

Kang

et al. 2018

PLoS ONE

View full text Add to dashboard Cite

PurposeThis study was to evaluate whether optic nerve damage occurs in eyes with adjacent chronic sinusitis.MethodsData were collected from eighty-eight eyes of 46 chronic sinusitis patients and 93 eyes of 57 normal controls. Visual sensitivity using standard automated perimetry (SAP) and inner retinal thickness using optical coherence tomography (OCT) were measured. The Lund-Mackay system was used to quantify radiographic findings on the ostiomeatal unit CT scan with a numerical score representing the severity of sinusitis.ResultsThere was a significant positive correlation between the pattern standard deviation (dB) and Lund-Mackay score (P = 0.031). Nasal retinal nerve fiber layer (RNFL) thickness, average, minimum, superotemporal, superior, superonasal, and inferonasal ganglion cell-inner plexiform layer (GCIPL) thickness were negatively correlated significantly with Lund-Mackay score (all, P < 0.05). Eyes with grade 2 opacification of the posterior ethmoid sinus showed a significantly lower mean deviation (dB) and higher pattern standard deviation (dB) than those with clear respective sinuses (P = 0.007 and <0.001, respectively). Eyes with grades 1,2 and 3 opacification of the sphenoid sinus had a significantly less average RNFL thickness (P = 0.004, <0.001, and <0.001, respectively) and a significantly less average GCIPL thickness (P = 0.004, 0.003, and 0.003, respectively) than those with a clear sphenoid sinus.ConclusionsStructural and functional optic nerve changes were correlated with the severity of chronic sinusitis. Inflammation of the posterior ethmoid and sphenoid sinuses was associated with optic nerve changes to a greater extent than that of the other paranasal sinuses.

show abstract

Optıc Neuropathy Secondary to Inflammation of Sphenoidal Sinuses and Onodi Cell Polyps: A Case Report

Cited by 8 publications

References 4 publications

Optic Neuropathy, Secondary to Ethmoiditis, and Onodi Cell Inflammation during Childhood: A Case Report and Review of the Literature

Optic Neuropathy, Secondary to Ethmoiditis, and Onodi Cell Inflammation during Childhood: A Case Report and Review of the Literature

Visual loss in patients with sphenoethmoidal cells

Optic nerve changes in chronic sinusitis patients: Correlation with disease severity and relevant sinus location

Contact Info

Product

Resources

About