Isolated sphenoid sinus disease

Grillone, Gregory A.; Kasznica, Peter

doi:10.1016/s0030-6665(03)00160-9

Cited by 50 publications

(68 citation statements)

References 18 publications

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“…A differential diagnosis has to be kept in mind, including allergic fungal sinusitis, mucocele, cholesterol granuloma (8). In allergic fungal sinusitis, CT scans show mixed high and low attenuation in the involved sinus.…”

Section: Case Reportmentioning

confidence: 99%

RadIologIcal aspect of fungus ball wIthIn a mucocele of the sphenoId sInus

Inci

Özkan

Aksoy

et al. 2013

Journal of the Belgian Society of Radiology

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Section: Case Reportmentioning

confidence: 99%

RadIologIcal aspect of fungus ball wIthIn a mucocele of the sphenoId sInus

Inci

Özkan

Aksoy

et al. 2013

Journal of the Belgian Society of Radiology

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“…Several literatures described ocular problems as initial symptom of primary sphenoid sinus tumour, occuring up to 75 percent of the patients with majority of them having diplopia. 1,4 This normally result from unilateral abducens nerve involvement owing its long course within the cavernous sinus which is in close proximity to site of tumour. Partial visual loss and ptosis can be explained by tumour extension to cranial nerves II and III.…”

Section: Case Reportmentioning

confidence: 99%

“…Patients with primary sphenoid sinus tumours may also present with non specific headache which described as ipsilateral, retro-orbital, or of the vertex similar to our case who complained of left sided headache. 1,4 This is probably due to the size reduction of the subcribriform sphenoethmoidal chamber. The other possibility is due to the involvement of the sphenopalatine nerve or ganglion, or of the middle fossa or cavernous dura.…”

Section: Case Reportmentioning

confidence: 99%

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Unusual primary sphenoid adenoid cystic carcinoma: the importance of combined CT and MR evaluation

Soffian

Rohana

Lazim

et al. 2016

Bangladesh J Med Sci

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Objective: To report a diagnostic challenge of primary sphenoid adenoid cystic carcinoma. Case summary: A 60-year-old premorbid healthy lady presented with progressive deterioration of visual acuity of the left eye associated with diplopia, left epiphora and left ear blockage for two weeks duration. Examination revealed a 'non perception of light' (NPL) of the left eye with left abducent nerve palsy. The nasoendoscopic findings were unremarkable. Initial computed tomography of the brain and paranasal sinus showed a large clivus tumor with intracranial extension while subsequent magnetic resonance detected the epicenter of the tumour appeared to be in the sphenoid sinus with extension to the surrounding structures. A transeptal transsphenoidal biopsy was done reported as mixed pattern adenoid cystic adenocarcinoma. Discussion: Primary sphenoid adenoid cystic carcinoma is an extremely rare slow growing malignancy with non-specific clinical symptoms. The neuro-ophthalmology symptoms are the main presentation. Combined computed tomography and magnetic resonance images are essential in establishing differential diagnosis and to delineate the extent of this disease. Combined modality of surgery and postoperative radiation for adenoid cystic carcinoma has proven better results. Conclusions: Primary sphenoid adenoid cystic carcinoma poses a diagnostic challenge clinically. Combined radiological characteristic from computed tomography and magnetic resonance images are essential to aid the diagnosis.

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“…1,6 Often the headache is described as a retro-orbital, frontal, or vertex headache that is unresponsive to analgesic therapy. Visual disturbances are the second most common presenting symptom (12%-28%), while cranial nerve palsies are third (16%-21%).…”

Section: 3mentioning

confidence: 99%