Coexistent Optic Neuritis and Isolated Acute Sphenoid Sinusitis

  title={Coexistent Optic Neuritis and Isolated Acute Sphenoid Sinusitis},
  author={M G Rajiniganth and Usha R. Kim and Mahesh Kumar and Ashok K. Gupta},
  journal={Clinical Rhinology An International Journal},
We report two cases of optic neuritis associated with isolated acute sphenoid sinusitis. This is the first report of isolated sphenoid sinusitis with dehiscent optic canal with exposed nerve presented with optic neuritis without any orbital inflammation. In both cases visual acuity deteriorated with steroid therapy, CT scan showed air fluid in the sphenoid sinus with dehiscent optic canal. Antibiotic, sphenoidotomy and later steroid course had a partial recovery in vision. 

Figures from this paper


Clinics in diagnostic imaging (120). Right rhinogenic optic neuritis secondary to mucocoele of the Onodi cell.
A 60-year-old man, who developed a sudden ache on the nasal aspect of hisright eye, and deterioration of the vision in his right eye, is reported, which illustrates the typical radiological appearances of the Onodi cell on MR imaging and CT.
Isolated sphenoid sinus disease
A thorough cranial nerve examination and a CT scan should be performed early in patients who present with vague and unusual headaches, as well as in patients with inflammatory disease.
Acute Otitis Media and Facial Nerve Paralysis in Adults
The treatment of facial nerve paralysis secondary to otitis media should be as conservative as possible, using antibiotics and corticosteroids.
Acute monocular visual loss.
Clinics in diagnostic imaging.
A 48-year-old Chinese woman presented with progressive right-sided sensorineural hearing loss and post-gadolinium magnetic resonance images demonstrated marked enhancement of an intracanalicular tumour.