title: Relief of severe retro-orbital pain and vision improvement after optic-nerve decompression in polyostotic fibrous dysplasia: case report and review of the literature.
abstract: BACKGROUND
  We describe a case of a 9-year-old girl who developed progressive severe retro-orbital pain and partial visual loss in association with left optic-nerve compression due to polyostotic fibrous dysplasia of the skull.
  
  
  METHODS
  Intradural decompression of the optic nerve resulted in immediate and complete resolution of the pain as well as a vast visual improvement.
  
  
  CONCLUSIONS
  In cases of fibrous dysplasia of the skull with evidence of optic-nerve compression, relief of retro-orbital pain should be an additional consideration when deciding to proceed with surgical management.
authors.affiliation: Department of Neurosurgery, Royal Liverpool Children's Hospital, Alder Hey, Eaton Road, Liverpool, L12 2AP, UK.
authors.forename: S J C
authors.initials: SJ
authors.lastname: Sammut
authors.forename: J
authors.initials: J
authors.lastname: Kandasamy
authors.forename: W
authors.initials: W
authors.lastname: Newman
authors.forename: A
authors.initials: A
authors.lastname: Sinha
authors.forename: J
authors.initials: J
authors.lastname: Ross
authors.forename: J C
authors.initials: JC
authors.lastname: Blair
authors.forename: P
authors.initials: P
authors.lastname: May
mesh_terms: D002648:Child; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005359:Fibrous Dysplasia, Polyostotic / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009900:Optic Nerve / Q000601:surgery*; D010146:Pain / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery*; D014792:Visual Acuity / Q000502:physiology; D014794:Visual Fields / Q000502:physiology