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Isolated inflammatory sphenoiditis with multiple unilateral cranial nerve palsies

Published online by Cambridge University Press:  02 November 2006

S Shukla ,
S M Keh ,
P Andrews  and
H Saleh
S Shukla
Affiliation:
Otorhinolaryngology Department, Charing Cross Hospital, London, UK.
S M Keh
Affiliation:
Otorhinolaryngology Department, Charing Cross Hospital, London, UK.
P Andrews
Affiliation:
Otorhinolaryngology Department, Charing Cross Hospital, London, UK.
H Saleh
Affiliation:
Otorhinolaryngology Department, Charing Cross Hospital, London, UK.
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Abstract

Isolated sphenoidits is a rare entity that often presents with vague, non-specific symptoms. We present the case of a 36-year-old Middle Eastern man, who developed headache and a painful right eye. A diagnosis of acute sphenoiditis was made. Shortly afterwards, he developed diplopia due to isolated abducent nerve involvement. Within two months, the extent of cranial nerve involvement had increased to include cranial nerves II, III, and V. Subsequently, this was treated by functional endoscopic sinus surgical drainage and biopsy. Histology revealed inflammatory changes. The patient made a dramatic recovery post-operatively, with resolution in all symptoms.

Keywords

Sphenoid SinusitisCranial Nerve DiseasesOtorhinolaryngologic Surgical ProceduresEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 2 , February 2007 , pp. 186 - 188
Copyright
2006 JLO (1984) Limited

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