Bilateral orbital and optic nerve endoscopic endonasal decompression for nonspecific inflammatory orbital disease: case report.

Abstract

BACKGROUND:

Endoscopic endonasal optic nerve decompression (EEOND) is indicated in traumatic and endocrine orbitopathies as well as in idiopathic intracranial hypertension.

CASE:

We present a patient with bilateral nonspecific inflammatory orbitopathy (NSIO) and optic nerve compression presenting with acute severe visual loss. Bilateral orbital and optic nerve decompression was performed as an emergency procedure with a favorable ophthalmological result.

CONCLUSION:

EEOND is an effective and safe technique in acute orbitopathies and should be taken in consideration in atypical clinical settings causing severe acute visual loss.

• Authors: Sorin Aldea, Dorin Bică, Ionuţ Gobej, Saad Bennis, Bertrand Baussart, Etienne Mireau, Frederic Bourdain, Stephan Gaillard
• Journal: Journal of neurological surgery. Part A, Central European neurosurgery (J Neurol Surg A Cent Eur Neurosurg) Vol. 74 Suppl 1 Pg. e133-5 (Dec 2013) ISSN: 2193-6323 [Electronic] Germany
• PMID: 23042140 (Publication Type: Case Reports, Journal Article)
• Copyright: Georg Thieme Verlag KG Stuttgart · New York.

Chemical References

• Immunosuppressive Agents

Topics

• Adult
• Combined Modality Therapy
• Decompression, Surgical (methods)
• Emergency Medical Services
• Endoscopy (methods)
• Humans
• Immunosuppressive Agents (therapeutic use)
• Male
• Optic Nerve Diseases (surgery)
• Orbit (innervation, surgery)
• Orbital Diseases (drug therapy, surgery)
• Peripheral Nerves (surgery)
• Tomography, X-Ray Computed
• Treatment Outcome
• Vision Disorders (etiology)
• Vision Tests