Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-24T04:31:05.092Z Has data issue: false hasContentIssue false
  • English
  • Français

Unilateral abducens nerve palsy: a presenting sign of sphenoid sinus mucocoeles

Published online by Cambridge University Press:  29 June 2007

A. Muneer  and
N. S. Jones
A. Muneer
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK.
N. S. Jones*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK.
*
Address for correspondence: N. S. Jones, Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, Nottingham NG7 2UH.
Get access Rights & Permissions [Opens in a new window]

Abstract

Sphenoid sinus mucocoeles can stimulate a variety of pathological conditions and patients can present to a range of specialists. Because of the relative rarity of sphenoid sinus mucocoeles, diagnosis is often delayed and these lesions can progressively expand and cause direct mechanical compression on adjacent structures. We present three cases which presented with an abducens nerve palsy. Early surgical intervention is advocated and these patient's symptoms resolved following surgery. Although several conditions can present with an abducens nerve palsy, it is important to consider a sphenoid sinus mucocoele in the differential diagnosis.

Keywords

MucocoeleSphenoid sinusAbducens nerve
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 7 , July 1997 , pp. 644 - 646
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

Beasley, N. J. P., Jones, N. S. (1995) Paranasal sinus mucoceles: Modern management. American Journal of Rhinology 9: 251–256.CrossRefGoogle Scholar
Benninger, M. S., Mark, S. (1995) The endoscopic management of sphenoid and ethmoid mucocoeles with orbital and intranasal extension. Rhinology 33: 157–161.Google ScholarPubMed
Berg, J. (1889) Bidrag till kännedomen om sjukdomarana I näsans bihalor samt till läran om cerebro-spinal-vätskas flytning ur näsam. Nordiskt Medicinskt Arkiv 21: 1–24.Google Scholar
Casteels, F., De Loof, E., Brock, P., Jorrissen, M., Dralands, L., Missotten, L., Wilms, G. (1992) Sudden blindness in a child; Presenting symptoms of a sphenoid sinus mucocoele. British Journal of Ophthalmology 76: 502–504.CrossRefGoogle Scholar
Friedman, G., Harrison, M. S.. (1970) Mucocoele of the sphenoid sinus as a cause of recent oculator nerve palsy. Journal of Neurology, Neurosurgery and Psychiatry 33: 172.CrossRefGoogle Scholar
Fujitani, T., Takahashi, T., Asai, T. (1984) Opticnerve disturbance caused by frontal and fronto-ethmoidal mucopyoceles. Archives of Otolaryngology 110: 257–269.Google Scholar
Hao, S. P. (1994) Mucocele of the sphenoid sinus with acute blindness: report of a case. Journal of the Formosan Medical Association 93(6): 519–521.Google ScholarPubMed
Kennedy, D. E. (1985) Functional endoscopic sinus surgery. Archives of Otolaryngology 111: 643–649.CrossRefGoogle ScholarPubMed
Lim, C. T., Loh, L. E. (1992) Sphenoid mucocoele: detection and surgery by intranasal endoscopy. Singapore Medical Journal 33:604–606.Google ScholarPubMed
Lund, V. J. (1990) Surgery of the ethmoids–past, present andfuture: a review. Journal of the Royal Society of Medicine 83: 451–455.CrossRefGoogle Scholar
Lund, V. J., Harvey, W., Meghji, S., Harris, M. (1988) Prostaglandin synthesis in the pathogenesis of frontoethmoidal mucoceles. Acta Otolaryngologica (Stockholm) 106: 145–151.CrossRefGoogle Scholar
McCarthy, W. L., Frenkel, M. (1972) Visual loss as the only symptom of sphenoid sinus mucocele. American Journal of Ophthalmology 74: 1134–1140.CrossRefGoogle Scholar
Moriyama, H., Nakajima, T., Honda, Y. (1992) Studies on mucocoeles of the ethmoid and sphenoid sinuses. Analysis of 47 cases. Journal of Laryngology and Otology 106: 23–27.CrossRefGoogle ScholarPubMed
Natvig, K., Larson, T. E. (1992) Mucocoele of the paranasal sinuses. Journal of Laryngology and Otology 92: 1075–1082.CrossRefGoogle Scholar
Nugent, G. R., Sprinkle, P., Bloor, B. M. (1970) Sphenoid sinus mucoceles. Journal of Neurosurgery 72: 443–451.CrossRefGoogle Scholar
Sellars, S. L., De Villiers, J. C. (1981) The sphenoid sinus mucocoele. Journal of Laryngology and Otology 95: 493–502.CrossRefGoogle ScholarPubMed
Valvassori, G. E., Putterman, A. M. (1973) Ophthalmological and radiological findings in sphenoidal mucoceles. Archives of Ophthalmology 90: 416–419.CrossRefGoogle ScholarPubMed
Wigand, M. E., Hoseman, W. G. (1991) Results of endoscopicsurgery of the paranasal sinuses and anterior skull base. Journal of Otolaryngology 20: 385–390.Google Scholar