[Maxillary and sphenoid sinusitis complicated by acute inflammatory optic neuritis in a 12-year-old patient].
Acute inflammatory optic neuritis (retrobulbar optic neuritis) is an uncommon but described complication of acute sinusitis. It is due to a close anatomic relationship between the sinus and the optic nerve. Inflammatory mechanism is dominant with a possible bilateral neuritis, especially among children. In the reported case, as usual in childhood, visual acuity loss has been particularly severe, and recovery slow (it takes usually 6 weeks) but almost complete. Primary treatment is medical, with antibiotics and corticosteroids that must be prescribed for a prolonged time.
Chanzy
S
S
Service de pédiatrie et néonatologie, centre hospitalier d'Orsay, BP 27, 91401 Orsay cedex, France. s.chanzy@ch-orsay.fr <s.chanzy@ch-orsay.fr>
Routon
M C
MC
Bursztyn
J
J
Maitrepierre
E
E
Cheminée
M
M
Msélati
J C
JC
D000208:Acute Disease; D002648:Child; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000150:complications*; D009902:Optic Neuritis / Q000209:etiology*; D015524:Sphenoid Sinusitis / Q000150:complications*