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Minimally Invasive Surgical Decompression of Occipital Nerves
Published on: September 13, 2024
Ethmoidal mucocele presenting as oculomotor nerve paralysis
Dae Woo Kim1, Hee-Young Sohn, Sea-Yuong Jeon
1Department of Otorhinolaryngology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
Clinical and Experimental Otorhinolaryngology
|June 27, 2013
Summary
A rare ethmoidal mucocele caused sudden ptosis and headache in a 56-year-old male. Surgical marsupialization resolved the oculomotor nerve paralysis and headache, highlighting a unique clinical presentation.
Area of Science:
- Otorhinolaryngology
- Neurology
- Ophthalmology
Background:
- Ethmoidal mucoceles are rare benign cysts that can cause various symptoms depending on their location and size.
- Oculomotor nerve paralysis is an uncommon but serious complication of ethmoidal mucoceles, potentially leading to significant visual impairment.
Purpose of the Study:
- To report a rare case of ethmoidal mucocele presenting with oculomotor nerve paralysis and acute headache.
- To review the literature on the association between ethmoidal mucoceles and oculomotor nerve palsy.
Main Methods:
- A 56-year-old male patient presented with acute headache and right-sided ptosis.
- Radiological imaging identified a mucocele in the right posterior ethmoid sinus.
- The mucocele was treated via marsupialization using a transnasal endoscopic approach.
Main Results:
- The patient's symptoms of headache and right-sided ptosis (oculomotor nerve paralysis) resolved completely within 4 weeks post-surgery.
- Histopathological examination confirmed the diagnosis of mucocele.
Conclusions:
- Ethmoidal mucoceles, though rare, can present with neurological symptoms such as oculomotor nerve paralysis.
- Transnasal endoscopic marsupialization is an effective treatment for ethmoidal mucoceles causing neurological deficits.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in such cases.
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