Isolated Sphenoid Sinus Diseases

Ruoppi, Pirkko; Seppä, Juha; Pukkila, Matti; Nuutinen, Juhani

doi:10.1001/archotol.126.6.777

Cited by 80 publications

(90 citation statements)

References 21 publications

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“…Despite the presence of several critical structures surrounding the sphenoid sinus, including the carotid artery, optic nerves, dura mater, and cranial nerves III to VI, symptoms related to these structures occur less frequently than nonspecific complaints, such as headache. [1][2][3][4][5][6] The most common associated symptoms reported in the literature are headache and visual compromise, which may occur with both inflammatory and neoplastic processes. Sphenoid sinus disease is frequently detected radiographically as an incidental finding in the evaluation of some other abnormality.…”

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confidence: 99%

Evaluation and Surgical Management of Isolated Sphenoid Sinus Disease

Martin

Smith²,

Smith

et al. 2002

Arch Otolaryngol Head Neck Surg

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Given the high prevalence of noninflammatory lesions within the sphenoid sinus, thorough preoperative evaluation is imperative. Initially, this should include nasal endoscopy and computed tomography to help define the location, extent, and character of the lesion. In some cases, magnetic resonance imaging may help further define the nature and extent of a lesion. Angiography should be considered if a vascular lesion is suspected. The clinical and imaging findings should all be taken into consideration when the surgical approach is planned.

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confidence: 99%

Evaluation and Surgical Management of Isolated Sphenoid Sinus Disease

Martin

Smith²,

Smith

et al. 2002

Arch Otolaryngol Head Neck Surg

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“…Isolated acute sphenoid sinusitis is rare, accounting for 1-3% of all sinus infections [1][2][3][4] and can easily be overlooked in an attempt to pursue more common causes of severe headache [6]. Vague symptomatology and paucity of clinical findings contribute to delay in diagnosis until the patient develops neurologic signs [1,4,5].…”

Section: Discussionmentioning

confidence: 99%

“…Severe headache is a frequent presenting symptom [1,[2][3][4]. Understandably, some practicing neurologists may not particularly be familiar with the clinical features and complications of acute sphenoid sinusitis since discussions of the disorder in recent neurology literature are sparse.…”

Section: Introductionmentioning

confidence: 99%

Neurological complications with acute sphenoid sinusitis a surgical emergency?

Poulopoulos

Finelli

2007

Neurocrit Care

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“…Clinical symptoms [1][2][3][4][5] A. Asymptomatic: discovered accidentally during Head CT Scan B. Headache: is the most common symptom, but it is atypical, do not respond to analgesic and related to head movement, mostly located at vertex and per orbital area.…”

Section: Introductionmentioning

confidence: 99%

Isolated Sphenoid Sinus Disease: Review of Some Cases

Ramadan¹

2016

JOENTR

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Isolated Sphenoid Sinus Disease is a rare disease that usually discovered by radiologic assessment, but it could lead to serious complications if it is misdiagnosed, radiologic assessment has crucial role in the diagnosis of this lesions, and optimal treatment is still controversial.of lesion is similar TO CSF.b. 45 year old female c/o of recurrent headache on CT scan a lesion was noted on left sphenoid Sinus, the mucosa of the sinus is thickened and the bony wall of sphenoid sinus is thickened.c. 30 year old female c/o of acute onset of let eye proptosis, Left EOM movements are restricted on CT scan an expansible lesion destroying bone margins was noticed on left sphenoid spreading to left orbit with marginal enhancement.d. 66 year male c/o of gradual right vision loss, left sixth cranial nerve palsy, proptosis and headache since one year, on CT Scan a right sphenoid mass was noted spread to right orbit, nose, seller and cavernous sinus area, with moderate enhancement.e. 45 year old male c/o headache, on CT a lesion was noticed on left sphenoid with calcification.f. 9 year old female c/o of face and cranial malformation, on CT Scan a ground glass lesion was noticed on the right sphenoid.g. 28 year old male c/o of right nasal obstruction, on nasoscope a polypoid filing posterior choane area was observed, on CT scan polyp seemed to come from right sphenoid area with no enhancement.h. 30 year old male came emergency department c/o of acute onset headache, fever and decreased vision ability, on exam the EOM movements of both eyes were limited with conjunctival ecchymosis, meningeal irritation was also observed, on CT scan an air -liquid level was observed in sphenoid sinus with enhancement in cavernous sinus.i. 20 year old male with history of falling from height, come to you C/O left nasal epistaxis and gradual onset of pulsation in left eye. On CT-Scan lesion was noticed in left sphenoid.j. 35 year old female come to your clinic c/o of left chronic nasal obstruction on nasoscope a fleshy polypoid mass noticed in the posterior choane, On CT Scan polypoid mass from left sphenoid sinus was observed with mild enhancement.k. 40 year old obese lady c/o of chronic postural headache with salty taste in her throat on CT scan la lesion was observed in left sinus of sphenoid sinus. on MRI signal of this lesion is similar to CSF.

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Isolated Sphenoid Sinus Diseases

Abstract: Objective: To detail the underlying pathological conditions, symptoms, signs, and outcomes of patients with isolated sphenoid sinus involvement.

Cited by 80 publications

References 21 publications

Evaluation and Surgical Management of Isolated Sphenoid Sinus Disease

Evaluation and Surgical Management of Isolated Sphenoid Sinus Disease

Neurological complications with acute sphenoid sinusitis a surgical emergency?

Isolated Sphenoid Sinus Disease: Review of Some Cases

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