Korean J Otorhinolaryngol-Head Neck Surg.
2010 Dec;53(12):781-783. 10.3342/kjorl-hns.2010.53.12.781.
A Case of Isolated Abducens Nerve Palsy Caused by Primary Sphenoid Sinus Mucocele
- Affiliations
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- 1Department of Otolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. monolithkim@catholic.ac.kr
- 2Department of Ophthalmology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
- KMID: 2277175
- DOI: http://doi.org/10.3342/kjorl-hns.2010.53.12.781
Abstract
- Mucoceles of the sphenoid sinus are relatively rare and can lead to visual impairment, diplopia and external ophthalmoplegia. The ophthalmic symptoms seem to be caused mainly by compression or inflammatory changes. It is difficult to diagnose mucocele of the sphenoid sinus just on the basis of patient history or physical examination alone. CT scans and MRI help in the correct assessment of this lesion. We experienced one patient with a sphenoid sinus mucocele who presented simply with diplopia. The mucocele was managed successfully by endoscopic marsupialization.
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