Mri; moderate paranasal thickening most pronounced in left maxillary compartment/double vision

[diana99]

Hi. My son went to Neuro-Opthomologist for extreme vision change and double vision. Mri was ordered.
Mri showed: Moderate paranasal sinus mucosal thickening is most pronounced in the left maxillary compartment.
What is this? ( I am assuming sinus related. )  But... how deep? How is this treated?
Thank-you
Diana

[BhumikaMD]

Hi,

Severe sinusitis could in rare cases explain double vision - but with the moderate paranasal sinus thickening you mention - the chances seem rarer still. But it would be best to consult your ENT specialist and eye specialist and see what they have to say after a clinical examination.

The signs and symptoms you mention all point to a cord injury and you are doing good by taking your son to a rehab centre to plan on the further management.

Hope this helps.

Good luck.

[diana99]

Thank-you, he is seeing ent on Tuesday.
Regarding cord, its amazing the run around we have been through. We have seen two Neuro- surgeons. One Ortho-pedic, one urologist and one Neuro optho. I finally was told to take son to sci rehab facility. Last three docs all agree there is cord injury. First Nuero told son on week nine, your fine go back to life as normal. Even after we told him son had problem with bladder. He down played it. I thought he was right, I did not take son two urologist for a couple of months, stupid of me.
Do you think this sinus thing is the root of double vision? It sure would be nice if we could get one thing fixed.
Thank-you,
Diana

[BhumikaMD]

Hi,

There is definite sinusitis - your son would need to consult an ENT specialist - steam inhalation and antiallerrgic medication should help. The specialist would probably prescribe saline and steroid nasal drops and antibiotics if required.

This is not related to the accident most probably.

Your son is showing definite signs of cord injury and you should consult a neurosurgeon or neurologist and follow up regularly.

Let us know if you have any doubts.

Hope this helps.

Good luck.

[diana99]

I want to add, and this is most likely just a coincidence. Son broke back in june. He has  
cord injury. After crash I noticed he always blows his nose and clears his throat constantly. Double vision started approx. November. I thought this was related to cord injury. I also was told as he had a mild concussion, he might of had head injury. Is this coincidence or is something else not working?
His loss is unable to feel bladder, minimal leakage. Loss of light touch sensation following an s-1 dermatone pattern on right side. Hyper-reflexes left side.Weakness. The right leg looses the power to go at times. Along with right hand numbness, etc. I will be taking him to Rehab facilitie in downey, ca. or sharp in san diego.
In hospital he had enlarged heart 2nd day, mild cephalization.
He has has two episodes of autonomic disreflexia.
Any relationship to this paranasal thing, to cord injury? All guesses appreciated as we are still learning about what broke.
(Motorcycle crash of 17 year old)
Thank-you
Diana