Rhinogenic Optic Neuritis Caused by Sphenoid Mucocele with Sinusitis

A 59-year-old male who presented with a nonspecific headache at the vertex, resembling retrobulbar optic neuritis, was treated as such but did not show any improvement. Although optic nerve compression from sphenoid mucocele was finally discovered, the delayed diagnosis and improper treatment led to...

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Bibliographic Details
Published in:Case reports in radiology 2018, Vol.2018 (2018), p.1-4
Main Authors: Pongpirul, Krit, Wichiwaniwate, Paithoon, Tantinikorn, Weerachai, Siritho, Sasitorn
Format: Article
Language:English
Subjects:
Blood
Case Report
Case reports
Cysts
Headache
Infections
Medical examination
Medical imaging
Neuritis
NMR
Nose
Nuclear magnetic resonance
Optic nerve
Optic neuritis
Otology
Sinuses
Surgery
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Summary:A 59-year-old male who presented with a nonspecific headache at the vertex, resembling retrobulbar optic neuritis, was treated as such but did not show any improvement. Although optic nerve compression from sphenoid mucocele was finally discovered, the delayed diagnosis and improper treatment led to a permanent visual loss. Optic neuritis could be caused by a common problem, “mucocele/sinusitis,” but might be easily overlooked in general practice. Rhinogenic optic neuropathy should, therefore, be considered in every case of optic neuritis whenever atypical presentation occurs or is unresponsive to high-dose steroid treatment.
ISSN:2090-6862
2090-6870
DOI:10.1155/2018/8302415