Sphenoid sinus mucocoele presenting as complete ophthalmoplegia

doi:10.1054/jocn.2000.0830

Journal of Clinical Neuroscience

Volume 8, Issue 4, July 2001, Pages 372-374

https://doi.org/10.1054/jocn.2000.0830 Get rights and content

Abstract

Sphenoid sinus mucocoeles represent 1% of all paranasal sinus mucocoeles. We describe a case of a sinus mucocoele with an atypical presentation comprising the sudden onset of a complete ophthalmoplegia. There was good recovery following drainage of the mucocoele.

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Cited by (6)

Post-radiation mucocele in two patients treated for nasopharyngeal cancer
2011, Cancer/Radiotherapie
Une patiente âgée de 30 ans souffrait, neuf ans après une chimioradiothérapie pour carcinome nasopharyngé, d’une diplopie intermittente et de céphalées d’apparition récente. Une biopsie du cavum a éliminé la récidive tumorale. L’imagerie a objectivé une mucocèle sphénoïdale. Le traitement a consisté en une marsupialisation par voie endonasale de la mucocèle entraînant la régression des céphalées et de la diplopie. Une patiente âgée de 56 ans a consulté cinq ans après la fin d’une radiothérapie pour un carcinome nasopharyngé pour tuméfaction fronto-orbitaire. La scanographie a objectivé une mucocèle ethmoïdo-frontale. Une biopsie du cavum a conclu à une récidive tumorale. Le traitement a consisté en une marsupialisation de la mucocèle et une chimioradiothérapie. Les mucocèles survenant après radiothérapie pour carcinome du nasopharynx sont rarement rapportées. Le diagnostic positif est fondé sur l’imagerie. Il est primordial de réaliser une biopsie pour chercher une récidive ou un cancer radio-induit. Le traitement par voie endonasale donne de très bons résultats.
A 30-year-old woman, with a history of nasopharyngeal carcinoma, which was treated by radiotherapy nine years previously, presented with occasional diplopia and recent headaches. A nasopharyngeal biopsy showed no recurrence. The imaging revealed a sphenoidal sinus mucocele. Endoscopic marsupialization of the mucocele allowed clinical improvement. A 56-year-old woman presented, five years after radiotherapy for nasopharyngeal carcinoma, with a fronto-orbital mass. CT-scan revealed a fronto-ethmoidal mucocele. Nasopharyngeal biopsy showed tumour recurrence. Marsupialization of mucocele was performed. Recurrence of the carcinoma was treated by radiotherapy and chemotherapy. Sphenoidal sinus mucocele developing after radiotherapy for nasopharyngeal carcinoma has rarely been reported. CT scan and MRI are useful tools in making the diagnosis. Biopsy is required to diagnose recurrence or associated radio-induced tumor. Endoscopic approach gives good results.
Mucoceles of the sphenoid sinus
2004, European Journal of Radiology
Purpose: Mucoceles of the sphenoid sinus represent 1–2% of all paranasal sinus mucoceles. The aim of this paper is to report our experiences in patients with mucoceles of the sphenoid sinus. Patients and method: In a period of 4 years, we observed six patients in whom a mucocele of the sphenoid sinus was suggested pre- or intraoperatively. Symptoms and signs included headache, visual loss and palsies of the III and VI cranial nerve. All patients were investigated by MRI and/or CT. Imaging findings were compared with operative and/or histological findings. Results: In three cases there were simple mucoceles, in one case we found a tumour (nasopharyngeal carcinoma) associated mucocele and in two cases, malignant tumours (carcinoma, chordoma) imitated a mucocele. The diagnosis of simple mucoceles was no problem at all by imaging. Difficulties made the two malignant tumours and the tumour associated mucocele. In the first two cases, repeated histological samples were necessary to make the final diagnosis. Conclusion: Mucoceles of the sphenoid sinus should be investigated and handled very carefully with regard to differential diagnoses and tumour associated cases.
Sphenoid sinus mucocele causing ptosis with pupil-spared ophthalmoplegia: a hint on carotid artery doppler ultrasound
2023, International Journal of Neuroscience
Sphenoid sinus mucocele: Report of a unique presentation and partial improvement of vision from no light perception to counting fingers after treatment
2010, Iranian Journal of Ophthalmology
Visual outcomes in patients with paranasal mucoceles
2009, Ophthalmic Plastic and Reconstructive Surgery
Sphenoid sinus mucocele of unusual aetiology and location
2006, Revue de Laryngologie Otologie Rhinologie

^f1: Correspondence to: Prof A. Kaye, Tel.: +61 3 9347 7067; Fax: +61 3 9347 7695.

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Case ReportSphenoid sinus mucocoele presenting as complete ophthalmoplegia

Abstract

Am J Ophthalmol

Bidrag till kännedomen om sjukdomarana I näsans biholor samt till läran om cerebro-spinal-vätskas flytning ur näsam

Nordiskt Medicinskt Arkiv

Cysts and benign tumors of the paranasal sinuses

Seminars in Roetgenology

Isolated sphenoid sinus lesions

Laryngoscope

Isolated sphenoid sinus disease

Head Neck

Studies on mucocoeles of the ethmoid and sphenoid sinuses: Analysis of 47 cases

J Laryngol Otol

Mucocoel of the paranasal sinuses

J Laryngol Otol

Unilateral abducens nerve palsy: A presenting sing of sphenoid sinus mucocoeles

J Laryngol Otol

Mucocoele of the sphenoid sinus as a cause of recurrent oculomotor nerve palsy

J Neurol Neurosurg Psychiatry

Case Report
Sphenoid sinus mucocoele presenting as complete ophthalmoplegia