Odontogenic Sinusitis Resulting in Abscess Formation Within the Optic Chiasm and Tract: Case Report and Review.

Authors

George M Ghobrial
Mary L Pisculli
James J Evans
Jurij R Bilyk
Christopher J Farrell

Publication/Presentation Date

12-1-2016

Abstract

A 33-year-old immunocompetent man developed rapid visual loss and a third nerve palsy secondary to acute rhinosinusitis and intracranial abscess formation. Despite endoscopic drainage of the ethmoid and sphenoid sinuses and empiric broad-spectrum antibiotics, the patient experienced progressive visual and neurological decline and ultimately required craniotomy for drainage of an optic apparatus abscess. Although odontogenic sinusitis rarely results in abscess formation of the visual pathways, early recognition and immediate treatment is imperative to decrease the risk of profound and permanent visual impairment.

Volume

36

Issue

4

First Page

393

Last Page

398

ISSN

1536-5166

Published In/Presented At

Ghobrial, G. M., Pisculli, M. L., Evans, J. J., Bilyk, J. R., & Farrell, C. J. (2016). Odontogenic Sinusitis Resulting in Abscess Formation Within the Optic Chiasm and Tract: Case Report and Review. Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society, 36(4), 393–398. https://doi.org/10.1097/WNO.0000000000000430

Disciplines

Medicine and Health Sciences

PubMedID

27525477

Department(s)

Department of Surgery

Document Type

Article