Teaching neuroimages: isolated sphenoiditis: an uncommon cause of abducens nerve palsy
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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Apostolos Safouris1, Andrey Bragin, Chiara Mabiglia
1From the Stroke Unit, Department of Neurology (A.S., A.B., M.-D.G.), and the Department of Radiology (C.M.), Brugmann University Hospital, Brussels, Belgium; First Department of Neurology (N.T.), University of Athens, School of Medicine, "Eginition" University Hospital; Second Department of Neurology (G.T.), University of Athens, School of Medicine, "Attikon" University Hospital, Greece; and the International Clinical Research Center (G.T.), St. Anne's University Hospital, Brno, Czech Republic.
Abstract:
A 35-year-old woman presented with a headache lasting 2 weeks and complained of recent diplopia. Neurologic examination showed limited left eye abduction. Initial brain CT scan was considered normal (figure, A). Brain MRI showed left sphenoiditis (figure, B). The patient was treated with amoxicillin/clavulanic acid and corticosteroids with rapid symptom improvement which deferred endoscopy that could provide a bacteriologic diagnosis.
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