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Sphenoid sinus mucocoele presenting as complete ophthalmoplegia
1Department of Surgery, Neurosurgery, Royal Melbourne Hospital, The University of Melbourne, Grattan Street, Parkville, 3052, Victoria, Australia.
Summary
Sphenoid sinus mucocoeles are rare, accounting for 1% of all cases. This study details a unique sphenoid sinus mucocele case with sudden ophthalmoplegia and good recovery after drainage.
Area of Science:
- Otolaryngology
- Neurology
- Ophthalmology
Background:
- Sphenoid sinus mucocoeles are uncommon, representing 1% of all paranasal sinus mucocoeles.
- Mucocoeles can cause mass effect and neurological complications due to their proximity to critical structures.
Observation:
- A patient presented with a sudden onset of complete ophthalmoplegia.
- This neurological deficit was attributed to an atypical sphenoid sinus mucocele.
Findings:
- The sphenoid sinus mucocele was diagnosed as the cause of the ophthalmoplegia.
- Surgical drainage of the mucocele led to a significant improvement in ocular motility.
Implications:
- This case highlights the importance of considering sphenoid sinus mucocoeles in the differential diagnosis of sudden-onset ophthalmoplegia.
- Prompt diagnosis and surgical intervention can lead to favorable neurological recovery.