재발한 접형동염에 의한 시신경염 1예

Optic neuritis is an inflammatory optic neuropathy, of which the multiple sclerosis is the most common cause. Other causes include infection, tumor, granuloma, vascular disease and so on. A 61 year old male patient was admitted to our hospital with headache for 4 days and decreased visual acuity of left eye for 2 days. He took an operation for sinusitis 5 years ago at other hospital. His maximal corrected visual acuity was 0.1 at admission. A full of soft tissue shadow in bilateral sphenoidal sinuses was identified on paranasal computer to-mographic scan. We operated an endoscopic sinus surgery. His visual acuity was getting better, so the visual field analysis test and visual evoked potential test were improved. We report a successful treatment of optic neuritis from sphenoidal sinusitis with a review of literature. (J Clinical Otolaryngol 2005;16:311-315)