Mucocele of the Sphenoid Sinus Presenting as an Intrasellar Mass

Simms, Norval M.; Brown, Willis E.; French, Lyle A.

doi:10.3171/jns.1970.32.6.0708

Cited by 17 publications

(1 citation statement)

References 7 publications

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“…Although sphenoidal mucocoeles may rarely present as an intrasellar mass (Osborn, Johnson and Roberts, 1979;Simms, Brown and French, 1970) the distinction between lesions arising from the sphenoid sinus and pituitary tumours usually rests on demonstrating the absence of sellar enlargement in sphenoid sinus lesions (Hakuba et al, 1975;Robertson et al, 1976), despite destruction of the floor of the sella. Several reports have stressed the importance of detailed tomography on several planes in defining the nature of lesions involving the ethmoid and sphenoid sinuses (Dubois et al, 1977;Minagi et al, 1972;Robertson et al, 1976;Takahashi et al, 1973).…”

Section: Discussionmentioning

confidence: 99%

Neurological manifestations of paranasal disease: problems in prognosis

Livingstone

Hall

Cumming

et al. 1982

Postgraduate Medical Journal

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Summary Early diagnosis of sphenoidal sinus mucocoeles presenting with visual loss is important as appropriately timed surgical intervention may improve the visual deficit. Two cases of sphenoidal sinus mucocoeles presenting with visual symptoms are reported in whom the diagnosis was only established at a late stage. A third case thought on clinical and radiological grounds to have a sphenoidal sinus mucocoele causing visual symptoms was found to have a frontal astrocytic glioma eroding through the ethmoidal sinus. These case reports stress that the definitive diagnosis in cases of sphenoidal sinus mucocoele is often delayed and that the pre-operative distinction between sphenoethmoidal sinus mucocoeles and other lesions involving the spheno-ethmoidal region may not always be possible.

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