Prolonged Visual Disturbance Secondary to Isolated Sphenoid Sinus Disease

Lee, Li‐Ang; Huang, Chi‐Che; Lee, Ta‐Jen

doi:10.1097/00005537-200406000-00006

Cited by 92 publications

(87 citation statements)

References 12 publications

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“…Traditionally, the management of sphenoid mucoceles was complete removal via transfacial or transcranial approach. However, transnasal sphenoidotomy has largely replaced the conventional open method with excellent results 6,9) . The recommended management of a mucocele of the sphenoid sinus is endonasal sphenoidotomy with sufficient removal of the anterior and inferior wall of the sinus along with drainage of the mucocele.…”

Section: Discussionmentioning

confidence: 99%

Isolated Sphenoid Sinus Mucocele Presenting as Third Nerve Palsy

Lee

Park

Jang

et al. 2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [360][361][362] 2010 A sphenoid mucocele often presents late due to its deep seated anatomical site. And it has varied presentation due to its loose relationship to the cavernous sinus and the base of the skull. We describe a case of large sphenoid sinus mucocele. A middle aged old man suddenly developed third cranial nerve palsy. Brain imaging study revealed an isolated sphenoid sinus mucocele, compressing right cavernous sinus. Endoscopic marsupialization of the mucocele via transnasal approach led to complete resolution of the third cranial nerve palsy. Involvement of the third cranial nerve in isolated mucocele is rare but important neurosurgical implications which must be excluded. In addition, proper and timely treatment must be performed to avoid permanent neurologic deficit. KEY WORDS :Sphenoid sinus mucocele˙ Third nerve palsy˙ Transnasal approach.

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Section: Discussionmentioning

confidence: 99%

Isolated Sphenoid Sinus Mucocele Presenting as Third Nerve Palsy

Lee

Park

Jang

et al. 2010

J Korean Neurosurg Soc

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“…Some reports from western and Asian countries suggest that optic neuritis may be associated with sinusitis, mostly with sphenoid sinusitis 7,[13][14][15] . Most of our patients with MRI findings of sinusitis affected the maxillary or ethmoid sinuses.…”

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confidence: 99%

Etiological profile of presumptive optic neuritis in China

Zhang

Wang

Wei

et al. 2008

Journal of Clinical Neuroscience

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Objective: To determine the diagnoses in a population of patients with presumed optic neuritis in China and compare the spectrum of etiologies with those in western countries. Methods: We studied a group of 204 patients referred with a presumptive diagnosis of optic neuritis (ON) to a teaching hospital. We conducted detailed medical and family history, thorough ophthalmologic and neurological examinations, and laboratory tests including neuroimaging. Patients were diagnosed using international diagnostic criteria.Results: 113 cases (55.4%) met ON criteria, among which 83 cases (73.5%) were considered as idiopathic demyelinating optic neuritis (IDON). Brain MRI white matter lesions were found in 11 of 78 (14.1%) clinically "isolated" IDON cases. Tuberculosis meningitis accounted for 2 cases and syphilis for 1. The cause of 26 cases (23.0%) remained uncertain, but these cases were still likely to be IDON accompanied by secondary axonal degeneration. Thirty-eight cases (18.6%) were confirmed to be Leber's hereditary optic neuropathy Etiological profile of presumptive optic neuritis in China

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“…In our case, headache was the only presenting symptom making the diagnosis difficult. Lee et al (9) reviewed 13 cases of isolated sphenoid sinus lesions with visual disturbances. Eight eyes had vision loss due to compressive optic neuropathy and optic neuritis; seven eyes had diplopia most commonly due to abducens nerve palsy followed by oculomotor nerve palsy.…”

Section: Discussionmentioning

confidence: 99%

Isolated sphenoid sinus lesion: A diagnostic dilemma

Alazzawi¹,

Ibrahim²,

Ibrahim³

et al. 2014

Qatar Medical Journal

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Isolated sphenoid sinus lesions are an uncommon entity and present with non-specific symptoms. In this case report, the patient presented with a history of headaches for a duration of one month without sinonasal symptoms. A computed tomography scan showed a soft tissue mass occupying the sphenoid sinus. An endoscopic biopsy revealed fungal infection. Endoscopic wide sphenoidotomy with excision of the sphenoid sinus lesion was then performed however, the microbiological examination post-surgery did not show any fungal elements. Instead, Citrobacter species was implicated to be the cause of infection.

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Prolonged Visual Disturbance Secondary to Isolated Sphenoid Sinus Disease

Abstract: The study supports the treatment of visual disturbances resulting from isolated sphenoid sinus disease by endoscopic sinus surgery. A timely operation may prevent permanent sequelae.

Cited by 92 publications

References 12 publications

Isolated Sphenoid Sinus Mucocele Presenting as Third Nerve Palsy

Isolated Sphenoid Sinus Mucocele Presenting as Third Nerve Palsy

Etiological profile of presumptive optic neuritis in China

Isolated sphenoid sinus lesion: A diagnostic dilemma

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