Abstract
A 10-year-old girl with no nasal or respiratory symptoms developed a headache lasting a few hours. The next day she became totally blind in the right eye and over 5 days vision in the left eye deteriorated to bare light perception. The diagnosis of a sphenoid sinus mucocele was made radiologically and drainage via an endonasal sphenoidectomy produced 12 ml of brownish fluid. Endoscopic biopsy of the wall confirmed the diagnosis of a mucocele. Steroid treatment was given postoperatively, but vision recovered to 6/12 in the left eye only. The importance of urgent clinical diagnosis and treatment is stressed.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alberti P. W., Marshall H. F., Black J. I. Fronto-ethmoidal mucocoele as a cause of unilateral proptosis. Br J Ophthalmol. 1968 Nov;52(11):833–838. doi: 10.1136/bjo.52.11.833. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barat J. L., Marchal J. C., Bracard S., Auque J., Lepoire J. Mucoceles of the sphenoidal sinus. Report of six cases and review of the literature. J Neuroradiol. 1990;17(2):135–151. [PubMed] [Google Scholar]
- Brockbank M. J., Brookes G. B. The sphenoiditis spectrum. Clin Otolaryngol Allied Sci. 1991 Feb;16(1):15–20. doi: 10.1111/j.1365-2273.1991.tb01935.x. [DOI] [PubMed] [Google Scholar]
- Johnson L. N., Hepler R. S., Yee R. D., Batzdorf U. Sphenoid sinus mucocele (anterior clinoid variant) mimicking diabetic ophthalmoplegia and retrobulbar neuritis. Am J Ophthalmol. 1986 Jul 15;102(1):111–115. doi: 10.1016/0002-9394(86)90219-9. [DOI] [PubMed] [Google Scholar]
- LUNDGREN A., OLIN T. Muco-pyocele of sphenoidal sinus or posterior ethmoidal cells with special reference to the apex orbitae syndrome. Acta Otolaryngol. 1961 Feb;53:61–79. doi: 10.3109/00016486109126003. [DOI] [PubMed] [Google Scholar]
- Sellars S. L., De Villiers J. C. The sphenoid sinus mucocoele. J Laryngol Otol. 1981 May;95(5):493–502. doi: 10.1017/s0022215100091003. [DOI] [PubMed] [Google Scholar]
- Stanton M. B. Sphenoid sinus mucocele. Am J Ophthalmol. 1970 Dec;70(6):991–994. doi: 10.1016/0002-9394(70)92481-5. [DOI] [PubMed] [Google Scholar]
- Timon C. I., O'Dwyer T. P. Ethmoidal mucocoeles in children. J Laryngol Otol. 1989 Mar;103(3):284–286. doi: 10.1017/s0022215100108722. [DOI] [PubMed] [Google Scholar]
- Valvassori G. E., Putterman A. M. Ophthalmological and radiological findings in sphenoidal mucoceles. Arch Ophthalmol. 1973 Dec;90(6):456–459. doi: 10.1001/archopht.1973.01000050456010. [DOI] [PubMed] [Google Scholar]