| Title |
Optic Nerve Compression from a Basal Encephalocele |
| Creator |
Hershewe, GL; Corbett, JJ; Ossoinig, KC; Thompson, HS |
| Affiliation |
Department of Medicine, University of Nevada School of Medicine, Reno 89503, USA. |
| Abstract |
A woman developed headaches, transient visual obscurations, anosmia, and decreased visual acuity. Ocular examination showed bilateral pulsatile proptosis and disc edema with choroidal folds. Standardized ophthalmic echography showed absence of bony orbital roofs, prominent dural pulsations, direct apposition of brain parenchyma and orbital tissues, and echographic signs suggesting bilateral optic nerve compression. CT and MRI showed a large defect in the floor of the anterior cranial fossa. The cribriform plate, both orbital roofs, and sphenoid bones were displaced by a large basal encephalocele. Clinical improvement followed reconstruction of the anterior cranial fossa and decompression of both optic nerves. |
| Subject |
Adult; Brain/pathology; Brain/surgery; Choroid Diseases/diagnosis; Choroid Diseases/etiology; Encephalocele/complications; Encephalocele/diagnosis; Encephalocele/surgery; Exophthalmos/diagnosis; Exophthalmos/etiology; Female; Humans; Magnetic Resonance Imaging; Nerve Compression Syndromes/etiology; Nerve Compression Syndromes/ultrasonography; Olfaction Disorders/diagnosis; Olfaction Disorders/etiology; Optic Nerve/pathology; Optic Nerve/ultrasonography; Papilledema/diagnosis; Papilledema/etiology; Tomography, X-Ray Computed; Vision Disorders/diagnosis; Vision Disorders/etiology; Visual Acuity |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
224701 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s66d9038/224701 |
