Odontogenic Sinusitis Resulting in Abscess Formation Within the Optic Chiasm and Tract: Case Report and Review

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Title Odontogenic Sinusitis Resulting in Abscess Formation Within the Optic Chiasm and Tract: Case Report and Review
Creator George M. Ghobrial, MD, Mary L. Pisculli, MD, James J. Evans, MD, Jurij R. Bilyk, MD, Christopher J. Farrell, MD
Affiliation Department of Neurological Surgery (GMG, MLP, JJE, CJF), Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; and Skull Base Division (JRB), Neuro-Ophthalmology Service, Wills Eye Hospital, Philadelphia, Pennsylvania
Subject Adult; Anti-Bacterial Agents; Blindness; Brain Abscess; Drainage; Endoscopy; Humans; Magnetic Resonance Imaging; Male; Optic Chiasm; Sphenoid Sinusitis; Tomography, X-Ray Computed; Visual Acuity
Abstract A 33-year-old immunocompetent man developed rapid visual loss and a third nerve palsy secondary to acute rhinosinusitis and intracranial abscess formation. Despite endoscopic drainage of the ethmoid and sphenoid sinuses and empiric broad-spectrum antibiotics, the patient experienced progressive visual and neurological decline and ultimately required craniotomy for drainage of an optic apparatus abscess. Although odontogenic sinusitis rarely results in abscess formation of the visual pathways, early recognition and immediate treatment is imperative to decrease the risk of profound and permanent visual impairment.
OCR Text Show
Publisher Lippincott, Williams & Wilkins
Date 2016-12
Type Text
Source Journal of Neuro-Ophthalmology, December 2016, Volume 36, Issue 4
Language eng
Rights Management © North American Neuro-Ophthalmology Society
Publication Type Journal Article
ARK ark:/87278/s6wq4296
Setname ehsl_novel_jno
Date Created 2018-01-24
Date Modified 2020-03-17
ID 1293151
Reference URL https://collections.lib.utah.edu/ark:/87278/s6wq4296
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