Related Experiment Videos
Sphenoid sinus mucocele with recurrent visual disturbance
Y Yasuda1, T Morita, I Akiguchi
1Department of Neurology, Otsu Red Cross Hospital, Japan.
European Neurology
|January 1, 1992
Summary
A sphenoid sinus mucocele caused recurrent vision problems in a young woman. Inflammation of the optic nerve, not compression, was the likely cause, as confirmed by imaging.
Area of Science:
- Ophthalmology
- Neurology
- Otorhinolaryngology
Background:
- Sphenoid sinus mucoceles can present with varied neurological symptoms.
- Recurrent visual disturbances warrant thorough investigation of adjacent structures.
Observation:
- A 22-year-old female experienced recurrent left-sided visual disturbances.
- Initial diagnosis was acute retrobulbar optic neuritis, responding to corticosteroids.
- Imaging revealed a left sphenoid sinus mucocele and left optic nerve swelling.
Findings:
- Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) identified the sphenoid sinus mucocele.
- T2-weighted MRI showed high intensity indicative of swelling in the left optic nerve.
- No bony destruction of the optic canal was evident on imaging.
Implications:
- The findings suggest contiguous inflammation of the optic nerve as the primary mechanism.
- This case highlights the importance of considering sinonasal pathologies in optic nerve disorders.
- Early diagnosis and management of sphenoid sinus mucoceles can prevent irreversible visual impairment.