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[Intracranial mucocele. Report of a case]
D Santoya1, L Varela, R Sandoval
1Departamento de Neurología, Hospital Militar de Santiago, Chile.
Abstract:
Mucocele, usually associated to paranasal sinuses is defined as an abnormal accumulation and retention of mucous secretions. It usually presents with intraorbital or paranasal and rarely with pure neurological symptoms. We report a 41 years old male who presented with a history of supraorbital left headache, diplopia and proptosis. CT scans and magnetic resonance imaging showed an expansive mass in the right frontal sinus. The patient was operated, the presumptive preoperative clinical diagnosis of mucocele was confirmed and the lesion was drained. A postoperative CT scan confirmed the normal expansion of the frontal lobe.
Insights
A frontal sinus mucocele, an abnormal mucus buildup, can cause neurological symptoms like headache and vision problems. Surgical drainage resolved the symptoms in a 41-year-old male patient.
Area of Science:
- Otorhinolaryngology
- Neurosurgery
- Radiology
Background:
- Mucoceles are typically found in paranasal sinuses, involving abnormal mucus accumulation.
- While often presenting with localized symptoms, they can rarely manifest as neurological deficits.
Observation:
- A 41-year-old male presented with left supraorbital headache, diplopia, and proptosis.
- Imaging revealed an expansive mass in the right frontal sinus.
Findings:
- Surgical intervention confirmed the diagnosis of a frontal sinus mucocele.
- The lesion was successfully drained, relieving pressure.
Implications:
- This case highlights the importance of considering mucoceles in the differential diagnosis of neurological symptoms originating from the sinuses.
- Prompt diagnosis and surgical management are crucial for favorable outcomes and preventing complications.