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DOI: 10.1055/s-2008-1035038
© 1997 F. Enke Verlag Stuttgart
Infrasakkale Tränenwegsstenose durch Knochenverdickungen des inneren Nasenskelettes bei tuberöser Sklerose
Lacrimal Duct Obstruction and Endonasal Bone Thickening in Tuberous SclerosisPublication History
Manuskript eingereicht am 28.06.1996
in der vorliegenden Form angenommen am 04.10.1996
Publication Date:
25 March 2008 (online)
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Summary
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.
Schlüsselwörter
Tränenwegsstenose - tuberöse Sklerose - Gesichtsschädel - koronares CT
Key words
Lacrimal duct obstruction - tuberous sclerosis - facial skeleton - coronal CT