Bilateral consecutive blindness due to sphenoid sinus mucocele with unilateral partial recovery

Levy, Jaime; Monos, Tova; Puterman, Moshe

doi:10.1016/s0008-4182(05)80015-8

Cited by 24 publications

(23 citation statements)

References 8 publications

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“…Sphenoidal mucoceles occur rarely and have an incidence of 1% of all paranasal sinus mucoceles,[12] Anterior clinoid mucoceles causing optic neuropathy[3] and cranial nerve palsies[4] are reported in literature, but sphenoid mucoceles causing both optic neuropathy and ophthalmoplegia are very rare. Visual loss from sphenoid sinus mucoceles is usually associated with poor prognosis, if surgical treatment is delayed more than 7–10 days.…”

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confidence: 99%

Spheniodal mucocele causing bilateral optic neuropathy and ophthalmoplegia

Selvakumar

Mahalaxmi

Ananth

et al. 2014

Indian J Ophthalmol

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Sphenoid sinus mucocele comprises only 2% of all paranasal sinus mucoceles. In literature, there is a case report on sphenoidal mucocele causing bilateral optic neuropathy, with unilateral partial recovery and cranial nerve palsy, but we did not come across any literature with bilateral optic neuropathy and ophthalmoplegia together caused by spheno-ethmoidal mucocele. We present such a rare case of spheno-ethmoidal mucocele causing bilateral optic neuropathy and unilateral sixth nerve palsy who had postsurgery, unilateral good vision recovery, and complete resolution of sixth nerve palsy.

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confidence: 99%

Spheniodal mucocele causing bilateral optic neuropathy and ophthalmoplegia

Selvakumar

Mahalaxmi

Ananth

et al. 2014

Indian J Ophthalmol

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“…However, 55.5–62.5% of patients had resolution of their optic neuropathy after surgery, this was dependent on the duration of and amount of compression on the optic nerve 10 13 14. Our case may have had a good outcome because of the gradual onset of visual loss associated with the slow but limited expansion of the sphenoidal mucocele as a result of barotrauma.…”

Section: Discussionmentioning

confidence: 69%

Sphenoidal sinus mucocele presenting with acute visual loss in a scuba diver

Mowatt

Foster

2013

BMJ Case Reports

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A 43-year-old male scuba diver presented with an acute history of painful unilateral visual loss after scuba diving. He had right-sided retrobulbar pain and headache. He was known to have sinusitis and had transient visual loss in two previous episodes after scuba diving. His visual acuity was hand motions and 20/20 in the right and left eye, respectively. There was no proptosis. He had a right relative afferent pupillary defect. Colour vision was normal in the left eye and absent in the right eye. Fundal examination revealed healthy discs and macula bilaterally. He was assessed as a right optic neuropathy, possibly secondary to compression. An MRI of the brain revealed a large sphenoidal mucocele extending into the right optic foramen. He was treated with oral steroids, antibiotics and nasal decongestants. He underwent endoscopic intranasal sphenoidectomy and marsupialisation with return of his visual acuity to 20/25 in that eye.

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“…In the literature, the most frequently reported manifestations are headache (89%), decreased visual acuity (57%), oculomotor palsies (56%) and exophthalmos (25%). [4,5] In this case, the dysfunction of the ophthalmic (V1) and maxillary (V2) divisions of the fifth cranial nerve (trigeminal) is unusual and would make invasive lesions more likely. However, these cranial nerve dysfunctions due to a sphenoid mucocoele have previously been reported by Yong et al [6] V1 may be compressed or stretched at the cavernous sinus or the orbital apex where it passes through the superior orbital fissure to enter the orbit.…”

Section: Case Reportmentioning

confidence: 99%