Maxillary and sphenoid sinusitis complicated by acute inflammatory optic neuritis in a 12-year-old patient

Acute inflammatory optic neuritis (retrobulbar optic neuritis) is an uncommon but described complication of acute sinusitis. It is due to a close anatomic relationship between the sinus and the optic nerve. Inflammatory mechanism is dominant with a possible bilateral neuritis, especially among child...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2005-01, Vol.12 (1), p.46-48
Main Authors: Chanzy, S, Routon, M C, Bursztyn, J, Maitrepierre, E, Cheminée, M, Msélati, J C
Format: Article
Language:fre
Subjects:
Acute Disease
Child
Humans
Male
Maxillary Sinusitis - complications
Optic Neuritis - etiology
Sphenoid Sinusitis - complications
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Summary:Acute inflammatory optic neuritis (retrobulbar optic neuritis) is an uncommon but described complication of acute sinusitis. It is due to a close anatomic relationship between the sinus and the optic nerve. Inflammatory mechanism is dominant with a possible bilateral neuritis, especially among children. In the reported case, as usual in childhood, visual acuity loss has been particularly severe, and recovery slow (it takes usually 6 weeks) but almost complete. Primary treatment is medical, with antibiotics and corticosteroids that must be prescribed for a prolonged time.
ISSN:0929-693X
DOI:10.1016/j.arcped.2004.09.009