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Anatomical variation of the extracranial course of the optic nerve in the floor of the sphenoid sinus: first reported case

Published online by Cambridge University Press:  24 May 2013

A Girguis-Bucher  and
C Schlegel-Wagner
A Girguis-Bucher*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Lucerne Cantonal Hospital, Switzerland
C Schlegel-Wagner
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Lucerne Cantonal Hospital, Switzerland
*
Address for correspondence: Dr. Andrea Girguis Bucher, HNO medic, Splügenstrasse 6, 8002 Zurich, Switzerland Fax: +41 44 201 00 56 E-mail: [email protected]
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Abstract

Objective:

We report a unique case of anatomical variation of the extracranial course of the optic nerve running in the floor of the sphenoid sinus.

Method:

Clinical and radiological findings are presented.

Results:

A 39-year-old woman with Turner syndrome presented with severe headache associated with visual disturbances. Magnetic resonance imaging revealed a mass presumed to be a sella meningioma. Computed tomography of the paranasal sinuses was undertaken to help plan surgical removal via an endoscopic trans-sphenoidal approach; this scan revealed an atypical extracranial course of the optic nerve, running in the floor of the sphenoid sinus.

Keywords

Optic NerveParanasal SinusesEndoscopic Surgical ProceduresTomographyX-ray Computed
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 8 , August 2013 , pp. 822 - 824
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Schoemaker, MJ, Swerdlow, AJ, Higgins, CD, Wright, AF, Jacobs, PA, UK Clinical Cytogenetics Group. Cancer incidence in women with Turner syndrome in Great Britain: a national cohort study. Lancet Oncol 2008;9:239–46CrossRefGoogle ScholarPubMed
2Simmen, D, Schuknecht, B. Computerized tomography of paranasal sinuses – a preoperative checklist [in German]. Laryngorhinootologie 1997;76:8–13CrossRefGoogle Scholar
3Heskova, G, Mellova, Y, Holomanova, A, Vybohova, D, Kunertova, L, Marcekova, M et al. Assessment of the relation of the optic nerve to the posterior ethmoid and sphenoid sinuses by computed tomography. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2009;153:149–52CrossRefGoogle Scholar
4De Lano, MC, Fun, FY, Zinreich, SJ. Relationship of the optic nerve to the posterior paranasal sinuses: a CT anatomic study. Am J Neuroradiol 1996;17:669–75Google Scholar
5Dessi, P, Moulin, G, Chagnaud, C, Cannoni, M. Protrusion of the optic nerve into the ethmoid and sphenoid sinus: prospective study of 150 CT studies. Neuroradiology 1994;36:515–16CrossRefGoogle ScholarPubMed