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[Maxillary and sphenoid sinusitis complicated by acute inflammatory optic neuritis in a 12-year-old patient]
S Chanzy1, M C Routon, J Bursztyn
1Service de pédiatrie et néonatologie, centre hospitalier d'Orsay, BP 27, 91401 Orsay cedex, France. s.chanzy@ch-orsay.fr <s.chanzy@ch-orsay.fr>
Abstract:
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.
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