Fronto-orbital mucocele with intracranial extension: a case report

Severino, Rocco; Severino, Paolo

doi:10.1093/jscr/rjx107

Cited by 14 publications

(10 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The lesion appeared on T2WI as high SI, which is attributed to a decrease in the amount of fluid. These findings were, to some extent, consistent with previous reports that studied the paranasal sinus mucocele [12] , [13] .…”

Section: Discussionsupporting

confidence: 93%

Giant frontal mucocele presenting with displacement of the eye globe

Alshoabi

Gameraddin

2018

Radiology Case Reports

View full text Add to dashboard Cite

In this case, a 70-year-old female patient presented with large forehead swelling that occurred 2 years prior, with slow progressive enlargement that mimicked the behavior of a neoplasm. There was severe inferior displacement of the right orbital globe to the level of the nares. Brain computed tomography showed a large expansive lesion in the right frontal sinus with bony wall thinning without destruction or erosion. Brain magnetic resonance imaging showed high signal intensity of the contents in T1- and T2-weighted images with only peripheral enhancement after contrast administration. These features were consistent with a typical right frontal mucocele.

show abstract

Section: Discussionsupporting

confidence: 93%

Giant frontal mucocele presenting with displacement of the eye globe

Alshoabi

Gameraddin

2018

Radiology Case Reports

View full text Add to dashboard Cite

show abstract

“…In MRI, the mucocele may have different signals at T1 and T2, depending on the degree of water inclusion and viscosity of the mucocele. [ 4 ] In our case, the medial wall of the orbit was eroded by the mucocele as seen in the CT scan. In MRI, intermediate signal intensity in T1 and high intensity in T2-weighted images was seen.…”

Section: Discussionmentioning

confidence: 53%

An ethmoid mucocele causing diplopia

Kim

Kwon

2017

Medicine

View full text Add to dashboard Cite

Rationale:Mucocele is a disease lined primarily by epithelium, and occurs mainly when the sinus ostium is obstructed.Patient concerns:We report a case of a 37-year-old man who presented with painless proptosis of the right eye and diplopia.Diagnoses:The preoperative finding was mucocele of the ethmoid sinus.Interventions:We performed endoscopic sinus surgery, which included uncapping of the anterior and superior wall of the mucocele.Outcomes:The mucocele was treated safely and effectively without touching the medial orbital wall.Lessons:Clinicians should note that minimally invasive surgery to remove ethmoid mucoceles is relatively straightforward and can prevent the various complications associated with these lesions.

show abstract

“…If the posterior table of the frontal sinus gets eroded with consequent invasion of the anterior cranial fossa, the contaminated contents of the mucocele may cause meningitis or brain abscess with or without a CSF fistula. [ 4 ] In our case, the patient gave history of sudden loss of vision and ptosis. Prolonged pressure by the mucocele erodes the bone over optic nerve and causes circulatory changes in the nerve.…”

Section: Discussionmentioning

confidence: 86%

Frontoethmoidal mucocele causing proptosis and visual loss

Dey

Agarwal

2020

Natl J Maxillofac Surg

View full text Add to dashboard Cite

Mucoceles are benign mucus-containing cysts formed due to the obliteration of sinus ostium. They are most commonly found in the frontal sinus. Mucoceles can spread both intraorbitally and intracranially causing complications such as meningitis, brain abscess, and loss of vision. Radiological investigations are required for diagnosis, with both computed tomography (CT) and magnetic resonance imaging (MRI) being useful. Surgical approaches for management have changed from external to endonasal these days. We report a case where a 54-year-old patient presented to us with a 14 days' history of loss of vision and complete closure of eyes over 2 days. Contrast-enhanced CT scan and MRI confirmed the diagnosis of frontoethmoidal mucocele breaching the left frontal sinus floor. Endoscopic orbital decompression with functional endoscopic sinus surgery was done. Eye movements and ptosis recovered completely after the surgery, but the vision did not. Although the etiology of mucocele is multifactorial, obstruction of sinus ostium is the most plausible cause. Increasing pressure on adjacent structures by the expanding mucocele can cause intraorbital and intracranial complications. MRI is superior to CT in differentiating mucocele from soft-tissue neoplasms, although CT gives a more detailed information on bone structure. Endoscopic approaches have become the most preferred way to access frontoethmoidal mucoceles, with external approaches being reserved for mucoceles in certain inaccessible locations. Timely intervention is imperative to prevent undesirable complications.

show abstract

Fronto-orbital mucocele with intracranial extension: a case report

Cited by 14 publications

References 3 publications

Giant frontal mucocele presenting with displacement of the eye globe

Giant frontal mucocele presenting with displacement of the eye globe

An ethmoid mucocele causing diplopia

Frontoethmoidal mucocele causing proptosis and visual loss

Contact Info

Product

Resources

About