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Papillenödem und akute bilaterale Amaurose bei akuter Sinusitis

Jüngert, J. M. and Uberall, M. and Mayer, U. M. and Guggenbichler, J. P. and Heininger, U.. (2001) Papillenödem und akute bilaterale Amaurose bei akuter Sinusitis. Klinische Pädiatrie, Vol. 213, H. 6. pp. 343-346.

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Official URL: http://edoc.unibas.ch/dok/A5839168

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Abstract

BACKGROUND: Acute sinusitis can lead to severe complications. This includes involvement of the optical nerve with visual loss and brain abscess as a life-threatening complication. PATIENTS: Empyema of the chiasma opticum region with neuritis nervi optici and bilateral acute amaurosis was observed in a 13 year old boy with sinusitis sphenoidalis and ethmoidalis. In a 11 year old girl, pronounced papilledema was found to be closely associated with sinusitis sphenoidalis. While she recovered completely on appropriate antibiotic therapy, visual loss in the boy was irreversible despite surgical intervention. CONCLUSIONS: Sinusitis should always be considered in patients with impaired vision, neuritis nervi optici or unexplained papilledema, especially if occurring in association with an upper respiratory infection. In addition to physical examination, cranial computer tomography or magnetic resonance imaging of the brain including sinuses and chiasma opticum should be applied early. If empyema is found, immediate surgical intervention is of prognostic importance.
Faculties and Departments:03 Faculty of Medicine > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB)
03 Faculty of Medicine
UniBasel Contributors:Heininger, Ulrich
Item Type:Article, refereed
Article Subtype:Book Review
Bibsysno:Link to catalogue
Publisher:Enke
ISSN:0300-8630
Note:Variant title: Papilledema and acute bilateral amaurosis accompanying acute sinusitis -- Publication type according to Uni Basel Research Database: Journal item
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Last Modified:08 Jun 2012 06:55
Deposited On:08 Jun 2012 06:41

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