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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
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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

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