Isolated sphenoid sinusitis

Isolated sphenoidal sinusitis in children

“…Neither the location (vertical, frontal, occipital, periretro-orbital) nor the type (dull, throbbing, aching) was consistent. The predominance of this symptom and its inconsistent location has also been reported in other cases of uncomplicated disease [2,9,12,13]. Nevertheless, sphenoiditis may also manifest by facial and orbital pain [9,10,18] and by ocular symptoms, such as blurred vision, diplopia and ptosis [5, 10±12, 19].…”

“…Although plain lateral sinus radiography may show sphenoid sinus infection, it has low sensitivity and is inaccurate [9]. CT and MRI are superior because they can precisely de®ne the borders of the infection and detect its extension to adjacent vital structures [23].…”

“…Indeed, isolated sphenoiditis has been often detected secondary to investigations for its septic neurological and ophthalmological complications [1, 4±6, 10, 11, 13, 18±20, 22]. A conservative treatment approach is suggested in uncomplicated cases [9,12,13], although there are numerous reports of surgical intervention [1, 4±6, 10±13, 18±20, 22].…”

Isolated Sphenoid Sinus Diseases

“…1,2,[4][5][6][7][8] The most common symptom of sphenoid sinus disease is headache that worsens with head movement; is aggravated by coughing, walking, or bending 5,9,10 ; might interfere with sleep; and is poorly relieved with analgetic drug use. 1,5,9,10 Experimental stimulation of the sphenoid sinus results in pain at the vertex. 11 In sphenoiditis, vertex headache is common, but pain can be localized in frontal, temporal, periorbital, or occipital regions or can be vague or occur anywhere in the craniofacial region.…”

Free Air in the Cavernous Sinus Secondary to Acute Isolated Sphenoid Sinusitis

“…4,14) During the antibiotic therapy, if the symptoms worsen or continue 24–48 h, or if there are signs of other complications, surgical drainage is indicated. 4,15–17) Otherwise, severe suppurative complications including epidural abscess, subdural empyema, meningitis, cerebral abscess, cavernous sinus thrombosis, and superior sagittal sinus thrombosis may occur. 18) Here antibiotic therapy was initiated and patient was closely observed because the patient manifested no symptoms except bilateral retro-orbital headache.…”