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Open Access 01-12-2022 | Nerve Decompression | Case report

Navigation-guided nasal endoscopic surgery for acute vision loss caused by fibrous dysplasia: a case report and review of literatures

Authors: Weijie Liu, Wenhao Jiang, Mingna Xu, Xiaozhou Hu, Mengting Wang, Haochen Jin, Yunhai Tu, Wencan Wu

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

Bone fibrous dysplasia is a benign disease of bone tissue dysplasia. Vision impairment is the commonest neurological complication of craniofacial fibrous dysplasia. Most of the vision loss caused by craniofacial fibrous dysplasia is usually a gradual process. Very few present with acute visual impairment as described in our case.

Case presentation

We report a patient with fibrous dysplasia presenting rapidly progressive visual loss in the left eye secondary to bone cyst formation. Transnasal endoscopic surgery guided by navigation with drainage and curettage of this bone cyst and orbital decompression resulted in progressive improvement in visual acuity that returned to normal 1 month post-operatively.

Conclusions

In cases with acute visual loss due to fibrous dysplasia, emergency surgical treatment should be considered to preserve vision. In the surgical approach, navigation-guided nasal endoscopic surgery may be preferred because of its advantages.

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Riddle ND, Bui MM. Fibrous dysplasia. Arch Pathol Lab Med. 2013;137(1):134–8.CrossRef

Sassin JF, Rosenberg RN. Neurological complications of fibrous dysplasia of the skull. Arch Neurol. 1968;18(4):363–9.CrossRef

Diah E, Morris DE, Lo L-J, Chen Y-R. Cyst degeneration in craniofacial fibrous dysplasia: clinical presentation and management. J Neurosurg. 2007;107(3):504–8.CrossRef

Katz BJ, Nerad JA. Ophthalmic manifestations of fibrous dysplasia: a disease of children and adults. Ophthalmology. 1998;105(12):2207–15.CrossRef

Edgerton MT, Persing JA, Jane JA. The surgical treatment of fibrous dysplasia. With emphasis on recent contributions from cranio-maxillo-facial surgery. Ann Surg. 1985;202(4):459–79.CrossRef

Kurokawa Y, Sohma T, Tsuchita H, Kitami K, Suzuki S, Sohma K. Hemorrhage into fibrous dysplasia following minor head injury–effective decompression for the ophthalmic artery and optic nerve. Surg Neurol. 1989;32(6):421–6.CrossRef

Bland LI, Marchese MJ, McDonald JV. Acute monocular blindness secondary to fibrous dysplasia of the skull: a case report. Ann Ophthalmol. 1992;24(7):263–6.PubMed

Singh V, Gupta K, Salunke P. Monostotic craniofacial fibrous dysplasia: report of two cases with interesting histology. Autops Case Rep. 2019;9(2):e2018092.CrossRef

Holl DC, Hardillo JAU, Dammers R, van der Schroeff MP, van der Lugt A. Cystic degeneration of craniofacial fibrous dysplasia. World Neurosurg. 2018;120:159–62.CrossRef

10.

MacNally SP, Ashida R, Williams TJ, King AT, Leatherbarrow B, Rutherford SA. A case of acute compressive optic neuropathy secondary to aneurysmal bone cyst formation in fibrous dysplasia. Br J Neurosurg. 2010;24(6):705–7.CrossRef

11.

Hardy J, Karsy M, Makarenko S, Ward M, Couldwell WTJWN. Hemorrhagic fibrous dysplasia with acute neurological decline: case report and review of the literature. 2020; 140.

12.

Li N, Chen X, Tian Y, Zhang C. Visual field improvement achieved by decompression surgery for craniomaxillofacial fibrous dysplasia: a case report. 2020.

13.

Donoso LA, Magargal LE, Eiferman RA. Fibrous dysplasia of the orbit with optic nerve decompression. Ann Ophthalmol. 1982;14(1):80–3.PubMed

14.

Calderon M, Brady HR. Fibrous dysplasia of bone with bilateral optic foramina involvement. Am J Ophthalmol. 1969;68(3):513–5.CrossRef

15.

Luxenberger W, Stammberger H, Jebeles JA, Walch C. Endoscopic optic nerve decompression: the Graz experience. Laryngoscope. 1998;108(6):873–82.CrossRef

16.

DeKlotz TR, Stefko ST, Fernandez-Miranda JC, Gardner PA, Snyderman CH, Wang EW. Endoscopic endonasal optic nerve decompression for fibrous dysplasia. J Neurol Surg B Skull Base. 2017;78(1):24–9.CrossRef

Title: Navigation-guided nasal endoscopic surgery for acute vision loss caused by fibrous dysplasia: a case report and review of literatures
Authors: Weijie Liu
Wenhao Jiang
Mingna Xu
Xiaozhou Hu
Mengting Wang
Haochen Jin
Yunhai Tu
Wencan Wu
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Nerve Decompression
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-021-01459-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Navigation-guided nasal endoscopic surgery for acute vision loss caused by fibrous dysplasia: a case report and review of literatures

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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