[Infra-saccular lacrimal duct stenosis caused by bone thickening of the inner nasal bones in tuberous sclerosis].

Abstract:

BACKGROUND:Patients with tuberous sclerosis (Morbus Bourneville-Pringle) may show hamartomatous tumors of different organ systems. 50% of patients display astrocytic hamartomas of the retina. The skeletal system is affected in 40%: peri-, en- or exostoses, or cysts may occur. To the best of our knowledge, there are only three descriptions of an involvement of the facial skeleton in the literature. PATIENT:A 54-year-old man presented with recurrent dacryocystitis and lacrimal duct obstruction. Tuberous sclerosis and epilepsy were present since childhood. Besides typical skin lesions and intracranial calcified astrocytomas a retinal astrocytoma was detected in his left eye. Coronal CT scan revealed endonasal bone thickening involving the nasal floor, conchae and lateral walls. Evidence of maxillary and ethmoidal sinusitis was also present. CONCLUSION:The endonasal findings in our patient are most likely a manifestation of tuberous sclerosis of the facial skeleton. They may have favored the development of marked sinusitis and lacrimal duct obstruction.

journal_name

Klin Monbl Augenheilkd

authors

Budde WM,Schelp R,Holbach LM

doi

10.1055/s-2008-1035038

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

169-71

issue

3

eissn

0023-2165

issn

1439-3999

journal_volume

210

pub_type

杂志文章
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  • [Measles retinitis in an immunocompetent child].

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  • [IOL power calculation after refractive surgery].

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  • [Leukokoria in a child: emergency and challenge].

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