ABSTRACT
Pseudotumor cerebri is a neurological condition in which patients develop headaches and visual loss that may not be successfully treated with medication. In these cases surgery is indicated, and decompression of the optic nerve is the preferred surgical procedure. We report a case of decompression of the optic nerve performed through an endonasal endoscopic approach in a patient with pseudotumor cerebri where enhancement of visual acuity was successful. To our knowledge, no previous investigators have reported this approach to treat pseudotumor cerebri.
Subject(s)
Decompression, Surgical , Neuroendoscopy , Optic Nerve/surgery , Pseudotumor Cerebri/surgery , Adolescent , Decompression, Surgical/methods , Female , Headache/etiology , Humans , Neuroendoscopy/methods , Optic Nerve/diagnostic imaging , Pseudotumor Cerebri/complications , Tomography, X-Ray Computed , Treatment Outcome , Vision Disorders/etiology , Visual Acuity , Visual Field Tests , Visual FieldsABSTRACT
'Juvenile' nasopharyngeal angiofibroma is a locally aggressive, yet histologically benign, vascular neoplasm. This neoplasm accounts for less than 0.5% of head and neck neoplasms. We report an unique case of a 14-year-old male with a nasopharyngeal angiofibroma compressing the optic nerve and causing great visual impairment. The tumor was a red lobulated mass in left nostril, invading maxillary sinus, anterior and posterior ethmoid sinus, sphenoid sinus, and cavum area. Midfacial degloving approach and total excision of the tumor resulted in almost completely visual recovery. Optic nerve decompression was not performed. We consider that an early diagnosis, an adequate approach, total tumor excision, and efforts by a team of sub-specialists are most likely to yield optimal results.
