Renate Unsöld

Entzündungen sind die häufigsten Erkrankungen der Orbita. Da die Symptome dieser Entzündungen sehr ähnlich sind, sollte immer eine radiologische Abklärung erfolgen, um eine sichere Diagnose zu stellen. Der Aufbau des Werkes unterstreicht den praktischen Charakter des Buchs, indem Klinik und radiologische Diagnostik bei jedem Fall direkt aufeinanderfolgend dargestellt werden. Das reichbebilderte Werk ist daher von täglicher Bedeutung für den Kliniker und den niedergelassenen Arzt in den Bereichen der Ophthalmologie, der HNO und der Radiologie.

Inflammations represent the most frequent diseases of the orbit. Because the symptoms of various inflammatory conditions are very similar, radiological examination is crucial in reaching the correct diagnosis. The book is structured in a practical fashion, in that the clinical features and diagnostic imaging of each individual case are presented together. This richly illustrated volume will therefore be an invaluable daily reference for clinicians and practitioners in ophthalmology, otorhinolaryngology and radiology.

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.