Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Case Report



Ophthalmoplegia secondary to left sphenoid sinus mucocele

Serhat Yaslikaya; Yuksel Toplu; Ismail Demir; Erkan Karatas.

Abstract
Sphenoid sinus mucocele (SSM) is rare and constitutes 1-2% of all paranasal sinus mucoceles. In general, patients present with symptoms such as headache, swelling of the face, nasal obstruction, proptosis, disturbance of globe movements, diplopia and visual loss. In this article, we present a case of ophthalmoplegia which is diagnosed with rare SSM. A 72-year-old man was admitted with an upper respiratory tract infection and concomitant complaints of low left eye lid, diplopia and retroorbital headache. On examination, there were left ptosis and paralysis in all globe movements except for the outward gaze. The patientÂ’s diplopia increased in downward gaze. Fundoscopy was normal. CT revealed a hypodense mass in the left sphenoid sinus that was compatible with a mucocele of about 3x2 cm. The patient was diagnosed with SSM and we performed emergency surgery. Sphenoid sinus mucoceles are very rare and benign lesions, but they can permanently damage the surrounding vital structures. Patients with headache and cranial nerve pathologies should be suspected of SSM. Surgical treatment of SSM by transnasal endoscopic approach can be preferred because of its ease of application and low morbidity and recurrence rates. Early surgical intervention can prevent the damages that will develop in patients.

Key words: Diplopia;fundoscopy;ptosis;hypodense



Share this Article


Advertisement
American Journal of Preventive Medicine and Public Health

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons