Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-27T07:32:51.067Z Has data issue: false hasContentIssue false
  • English
  • Français

Sphenoid sinus mucocoele presenting with isolated oculomotor nerve palsy

Published online by Cambridge University Press:  29 June 2007

Dharambir S. Sethi ,
David P. C. Lau  and
Chumpon Chan
Dharambir S. Sethi
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Republic of, Singapore.
David P. C. Lau*
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Republic of, Singapore.
Chumpon Chan
Affiliation:
Department of Neurosurgery, Singapore General Hospital, Republic of Singapore.
*
Address for correspondence: David P. C. Lau, F.R.C.S., Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 169608, Republic of Singapore. Fax: 0065-2262079
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe two cases of sphenoid sinus mucocoele. Both presented with isolated oculomotor nerve palsy. Mucocoeles involving only the sphenoid sinus are uncommon. They are probably under-diagnosed as they may be asymptomatic or cause non-specific symptoms. Nasal symptoms occur infrequently but the close relationship of the sphenoid sinus to the orbital apex means that ocular symptoms including cranial nerve palsies are a common presenting feature. Involvement of the third cranial nerve in isolation is rare but has important neurosurgical implications which must be excluded before this symptom is attributed to the sphenoid sinus.

Keywords

Sphenoid sinusMucocoeleOculomotor nerve
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 5 , May 1997 , pp. 471 - 473
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Blum, M. E., Larson, A. (1973) Mucocele of the sphenoid sinus with sudden blindness. Laryngoscope 83: 2042–2049.CrossRefGoogle ScholarPubMed
Friedmann, G., Harrison, S. (1970) Mucocele of the sphenoid sinus as a cause of recurrent occulomotor nerve palsy. Journal of Neurology, Neurosurgery and Psychiatry 33: 172–179.CrossRefGoogle Scholar
Gore, R. M., Weinberg, P. E., Kim, K. S., Ramsey, R. G. (1980) Sphenoid sinus mucocetes presenting as intracranial mass on computed tomography. Surgical Neurology 13: 375–379.Google Scholar
Jefferson, G. (1947) Isolated oculomotor palsy caused by intracranial aneurysm. Proceedings of the Royal Society of Medicine 15: 419–432.CrossRefGoogle Scholar
Johnson, L. N., Hepler, R. S., Yee, R. D., Batzdorf, U. (1986) Sphenoid sinus mucocele (anterior clinoid variant) mimicking diabetic ophthalmoplegia and retrobulbar neuritis. American Journal of Ophthalmology 102: 111–115.CrossRefGoogle ScholarPubMed
Nugent, G. R., Sprinkle, P., Bloor, B. M. (1970) Sphenoid sinus mucoceles. Journal of Neurosurgery 32: 443–451.CrossRefGoogle ScholarPubMed
Proetz, A. W. (1948) Sphenoid sinus. British Medical Journal 2: 243–245.CrossRefGoogle ScholarPubMed
Rothfield, R. E., de Vries, E. J., Rueger, R. G. (1991) Isolated sphenoid sinus disease. Head and Neck 13: 208–212.CrossRefGoogle ScholarPubMed
Rush, J. A., Young, B. R. (1981) Paralysis of cranial nerves III, IV and VI; cause and prognosis in 1000 cases. Archives of Ophthalmology 99: 76–79.CrossRefGoogle Scholar
Stefanis, L., Przedborski, S. (1993) Isolated palsy of the superior branch of the ocutomotor nerve due to chronic erosive sphenoid sinusitis. Journal of Clinical Neuro ophthalmology 13: 229–231.Google ScholarPubMed
Van Alyea, O. E. (1949) In discussion of operation for sphenoid by Arthur W. Proetz. Trans American Academy of Ophthalmology and Otolaryngology 538–545.Google Scholar
Wurster, C. F., Levine, T. M., Sisson, G. A. (1986) Mucocele of the sphenoid sinus causing sudden onset blindness. Otolaryngology – Head and Neck Surgery 94: 257–259.CrossRefGoogle Scholar
Wyllie, J. W., Kern, E. B., Djalilian, M. (1973) Isolated sphenoid sinus lesions. Laryngoscope 83; 1252–1265.CrossRefGoogle ScholarPubMed
Zizmor, J., Noyek, A. (1968) Cysts and benign tumours of the paranasal sinuses. Seminars in Roentgenology 3: 172–201.CrossRefGoogle Scholar