Sphenoid sinus mucocele

Bahgat, Mohammed; Bahgat, Yassin; Bahgat, Ahmed

doi:10.1136/bcr-2012-007130

Cited by 12 publications

(11 citation statements)

References 7 publications

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“…Mucoceles that are sufficiently large may exert mass effect on the surrounding anatomic structures. The clinical symptoms vary according to the location [3,11].…”

Section: Discussionmentioning

confidence: 99%

Giant Frontal Paranasal Mucocele: Case Report and Review of the Literature

Bosmans

Vanhoenacker²

2020

Journal of the Belgian Society of Radiology

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Teaching point: Giant mucocele is a rare expansile lesion that may mimic other locally aggressive lesions of the cranial vault. Giant frontal mucoceles with massive osteolytic destruction mimicking an aggressive lesion are rare compared to smaller mucoceles. This article reports a giant mucocele of the frontal sinus and reviews the literature. Important imaging clues pointing toward the diagnosis of a mucocele on computed tomography (CT) and magnetic resonance imaging (MRI) are a well-defined expansile mass, an intimate relationship with the frontal sinus, subtle peripheral rim enhancement, and slow progression on serial imaging. The density on CT and signal on MRI may vary along with the lesion content. The potential role of diffusion-weighted imaging should be elaborated in future reports.

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“…Mucoceles that are sufficiently large may exert mass effect on the surrounding anatomic structures. The clinical symptoms vary according to the location [3,11].…”

Section: Discussionmentioning

confidence: 99%

Giant Frontal Paranasal Mucocele: Case Report and Review of the Literature

Bosmans

Vanhoenacker²

2020

Journal of the Belgian Society of Radiology

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“…Mucocele of the sphenoid is usually seen in fourth decade of life, and does not have any sex predilection. [3] The symptoms of sphenoidal mucocele are non-specific. They occur as a result of mechanical pressure on neighbouring structures and/or due to an inflammatory process involving the nerves.…”

Section: Discussionmentioning

confidence: 99%

“…Sphenoid sinus mucoceles usually do not cause bitemporal hemianopia as seen with other sphenoidal and sellar lesions, such as pituitary macroadenoma. [3] Sphenoidal mucocele causing headache should be differentiated from other causes, which are either ophthalmological (like acute angle closure glaucoma) or neurological (like causes of increased intracranial pressure). Sphenoid sinus mucoceles may present as bilateral, gradually progressive headache which can temporarily be relieved by non-steroidal anti-inflammatory drugs (NSAIDs).…”

Section: Discussionmentioning

confidence: 99%

Sphenoidal mucocele presenting with persistent headache: a case report

Hegde

Vamanshankar

Saxena

et al. 2016

Acta Oto-Laryngologica Case Reports

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Mucocele of sphenoid sinus can present with a myriad of symptoms; headache is one of them and sphenoidal mucocele has to be kept in mind when evaluating patients with headache. It can be characterized by an asymptomatic initial period. We present a case of a 75-year-old diabetic and non-hypertensive female patient, presented with persistent headache since six months. After consulting with neurology, neurosurgery and ophthalmology, she was referred to the department of otolaryngology. Computed tomography and magnetic resonance imaging showed features consistent with sphenoidal mucocele with partial erosion of the sella. Endoscopic drainage of the sphenoidal mucocele with bilateral wide sphenoidotomy with posterior septectomy was done; the sphenoid sinus was irrigated with normal saline. The patient's symptoms improved dramatically in the post-operative period. Sphenoidal mucocele may be an unusual cause of persistent headache. Early diagnosis and treatment are necessary to avoid potential complications.

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“…This signifi cantly decreases the possibility of recurrence of the disease. 4 This endoscopic surgical access is not very invasive and has a low risk of opening dura mater and penetration of infection. 3,6 …”

Section: Discussionmentioning

confidence: 99%

“…1,2 The sphenoid sinus is the least often affected -1-2% and in single series -up to 7%. 1,[3][4][5] The fi rst case of mucocele of the sphenoid sinus (MSS) was reported in 1872 by Rouge and described later by Berg in 1889. 6 Headache is the most common clinical presentation of MSS, while the possible neurological defi cit is determined by the anatomy of the adjacent structures -II-VI cranial nerves, cavernous sinus, internal carotid artery and pituitary gland.…”

Section: Introductionmentioning

confidence: 99%

Mucocele of the Sphenoid Sinus

Djambazov¹,

Kitov²,

Zhelyazkov³

et al. 2017

Folia Medica

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Mucocele of the paranasal sinuses is a rare disease with slow evolution. It is a benign, encapsulated and destructive formation fi lled with mucous fl uid and tapistrated with respiratory epithelium. Of all the paranasal sinuses, the sphenoid sinus is aff ected in only 1-7% of the cases. We present two cases of mucocele of the sphenoid sinus involving the posterior ethmoidal cells. We consider here their clinical presentation, use of neuroimaging in the diagnosis, surgical care and postoperative results. Both patients presented with a history of persistent headache and in addition, one of them had a paresis of the right oculomotor and abducens nerves. A transnasal endoscopic sphenoidectomy was performed in both patients, in one -with an evacuation of the mucocele and marsupialization, and in the other -with a balloon dilatation of the natural foramen of the sinus. Postoperatively, a complete reversal of the symptoms was observed in both patients. Mucocele of the paranasal sinuses should be considered as a diagnosis in cases of persistent headache with a primarily retrobulbar location and eye symptoms. Computed tomography and magnetic resonance imaging can be used to successfully diagnose the disease. The transnasal endoscopic sphenoidectomy is the therapeutic method of choice which allows evacuation of the mucocele, while the marsupialization allows good drainage and prevents recurrence.

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Sphenoid sinus mucocele

Cited by 12 publications

References 7 publications

Giant Frontal Paranasal Mucocele: Case Report and Review of the Literature

Giant Frontal Paranasal Mucocele: Case Report and Review of the Literature

Sphenoidal mucocele presenting with persistent headache: a case report

Mucocele of the Sphenoid Sinus

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