Skip to main content
NCBI home page
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1982 May;58(679):268–273. doi: 10.1136/pgmj.58.679.268

Neurological manifestations of paranasal disease: problems in prognosis

I R Livingstone, K Hall, W J K Cumming, J B Foster
PMCID: PMC2426432  PMID: 6287445

Abstract

Early diagnosis of sphenoidal sinus mucocoeles presenting with visual loss is important as appropriately timed surgical intervention may improve the visual deficit. Two cases of sphenoidal sinus mucocoeles presenting with visual symptoms are reported in whom the diagnosis was only established at a late stage. A third case thought on clinical and radiological grounds to have a sphenoidal sinus mucocoele causing visual symptoms was found to have a frontal astrocytic glioma eroding through the ethmoidal sinus. These case reports stress that the definitive diagnosis in cases of sphenoidal sinus mucocoele is often delayed and that the pre-operative distinction between sphenoethmoidal sinus mucocoeles and other lesions involving the spheno-ethmoidal region may not always be possible.

Full text

PDF
268

Images in this article

269Fig. 1
on p.269
269Fig. 2
on p.269
269Fig. 3
on p.269
270Fig. 4
on p.270

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Dubois P. J., Schultz J. C., Perrin R. L., Dastur K. J. Tomography in expansile lesions of the nasal and paranasal sinuses. Radiology. 1977 Oct;125(1):149–158. doi: 10.1148/125.1.149. [DOI] [PubMed] [Google Scholar]
  2. EVERBERG G. Retrobulbar neuritis due to cyst of sphenoid sinus. Acta Otolaryngol. 1955 Nov-Dec;45(6):492–497. doi: 10.3109/00016485509124307. [DOI] [PubMed] [Google Scholar]
  3. Goodwin J. A., Glaser J. S. Chiasmal syndrome in sphenoid sinus mucocele. Ann Neurol. 1978 Nov;4(5):440–444. doi: 10.1002/ana.410040509. [DOI] [PubMed] [Google Scholar]
  4. Hakuba A., Katsuyama J., Matsuoka Y., Shim J. H., Nishimura S. Sphenoid sinus mucoceles. Report of two cases. J Neurosurg. 1975 Sep;43(3):368–373. doi: 10.3171/jns.1975.43.3.0368. [DOI] [PubMed] [Google Scholar]
  5. Hesselink J. R., Weber A. L., New P. F., Davis K. R., Roberson G. H., Taveras J. M. Evaluation of mucoceles of the paranasal sinuses with computed tomography. Radiology. 1979 Nov;133(2):397–400. doi: 10.1148/133.2.397. [DOI] [PubMed] [Google Scholar]
  6. Krueger T. P., McFarland J., Ommaya A. K. Pyocele of the sphenoid sinus. J Neurosurg. 1965 Jun;22(6):616–621. doi: 10.3171/jns.1965.22.6.0616. [DOI] [PubMed] [Google Scholar]
  7. Minagi H., Margolis M. T., Newton T. H. Tomography in the diagnosis of sphenoid sinus mucocele (SSM). Am J Roentgenol Radium Ther Nucl Med. 1972 Jul;115(3):587–591. doi: 10.2214/ajr.115.3.587. [DOI] [PubMed] [Google Scholar]
  8. Nager G. T. Gliomas involving the temporal bone clinical and pathological aspects. Laryngoscope. 1967 Apr;77(4):454–488. doi: 10.1288/lary.1967.000770403. [DOI] [PubMed] [Google Scholar]
  9. Nugent G. R., Sprinkle P., Bloor B. M. Sphenoid sinus mucoceles. J Neurosurg. 1970 Apr;32(4):443–451. doi: 10.3171/jns.1970.32.4.0443. [DOI] [PubMed] [Google Scholar]
  10. Osborn A. G., Johnson L., Roberts T. S. Sphenoidal mucoceles with intracranial extension. J Comput Assist Tomogr. 1979 Jun;3(3):335–338. doi: 10.1097/00004728-197906000-00006. [DOI] [PubMed] [Google Scholar]
  11. PETIT-DUTAILLIS D., THIEBAUT F., FISCHGOLD H. Contribution à l'étude des compressions intracraniennes des nerfs optiques par les abcès ou les mucoceles extradurales d'origine sphéno-ethmoïdale. Rev Neurol (Paris) 1950 Nov;83(5):325–341. [PubMed] [Google Scholar]
  12. PINCUS J. H., DAROFF R. B. SPHENOID SINUS MUCOCELE: A CURABLE CAUSE OF THE OPHTHALMOPLEGIC MIGRAINE SYNDROME. JAMA. 1964 Feb 8;187:459–460. [PubMed] [Google Scholar]
  13. REINECKE R. D., MONTGOMERY W. W. OCULOMOTOR NERVE PALSY ASSOCIATED WITH MUCOCELE OF THE SPHENOID SINUS. Arch Ophthalmol. 1964 Jan;71:50–51. doi: 10.1001/archopht.1964.00970010066008. [DOI] [PubMed] [Google Scholar]
  14. Roberson G. H., Patterson A. K., Deeb M. E., Maisel R. H., Bone R. C. Sphenoethmoidal mucocele: radiographic diagnosis. AJR Am J Roentgenol. 1976 Oct;127(4):595–599. doi: 10.2214/ajr.127.4.595. [DOI] [PubMed] [Google Scholar]
  15. Rubinstein L. J. Development of extracranial metastases from a malignant astrocytoma in the absence of previous craniotomy. Case report. J Neurosurg. 1967 May;26(5):542–547. doi: 10.3171/jns.1967.26.5.0542. [DOI] [PubMed] [Google Scholar]
  16. SANERKIN N. G. Transdural spread of glioblastoma multiforme. J Pathol Bacteriol. 1962 Jul;84:228–233. [PubMed] [Google Scholar]
  17. Simms N. M., Brown W. E., French L. A. Mucocele of the sphenoid sinus presenting as an intrasellar mass. Case report. J Neurosurg. 1970 Jun;32(6):708–710. doi: 10.3171/jns.1970.32.6.0708. [DOI] [PubMed] [Google Scholar]
  18. Takahashi M., Jingu K., Nakayama T. Roentgenologic appearances of sphenoethmoidal mucocele. Neuroradiology. 1973 Sep;6(1):45–49. doi: 10.1007/BF00338858. [DOI] [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES