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The optic canal, in particular its intracranial end, represents a
"locus minoris resistentiae" for optic nerve compression in a
variety of pathologic conditions. The intracranial optic nerve
shares the limited space within this narrow passage with the
carotid and ophthalmic artery, all being surrounded by bone and
rigid dura. Any pathological condition going along with an increase
of soft tissue volume, such as in optic nerve sheath tumors,
parasellar neoplasms, dolichoectasia of the carotid and/ or
ophthalmic artery, hematomas, etc. , or reduction of the lumen of
the bony optic canal by hyperpneumatization of the sphenoid sinus,
hyperostosis or developmental abnormalities must act as a
space-occupying lesion causing optic nerve compression either by
pressing the nerve against the vessel or the neighboring dura or
bone. The spectrum of clinical signs and symptoms of optic nerve
compression in this area is rather wide and includes acute as well
as slowly progressive visual loss and all kinds of visual field
defects in the presence of a normal disk, papilledema, pri- mary
optic atrophy or cavernous optic atrophy mimicking var- ious
clinical disease entities such as retrobulbar optic neuritis,
anterior and posterior ischemic optic neuropathy, soft glaucoma and
others. Some of the lesions causing optic nerve compression in this
area are rather small and need to be visualized or excluded by thin
section CT such as pneumosinus dilatans of the sphenoid bone,
dolichoectasia of the internal carotid artery, small men- ingiomas
around the optic foramen and others.
Interdisziplinares Praxis-Wissen fur die radiologische Abklarung
entzundlicher Orbita-Erkrankungen steht Ihnen mit diesem Werk
lerngerecht, ubersichtlich und aktuell zur Verfugung: -
Systematisch werden klinische Merkmale, charakteristische CT-
Befundmuster sowie die wichtigsten Kriterien fur die
Differentialdiagnose beschrieben. - Aussagekraftige Fallbeispiele
ermoeglichen Ihnen die Vertiefung wichtiger
differentialdiagnostischer Kriterien. - Bei jedem Fall sind Klinik
und radiologische Diagnostik aufeinanderfolgend behandelt.
Umfangreiches Bildmaterial begleitet den Text. Expertenwissen auf
einen Blick - Ihre sichere Entscheidungshilfe fur Klinik und
Praxis.
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