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Sphenoid sinus cholesterol granulomas presenting with abducens nerve palsy
Manon Doucet1, Daniel Farishta2, Jehan Abdulsattar3
1Otolaryngology, University of Louisville, Louisville, Kentucky, USA.
BMJ Case Reports
|May 10, 2022
Summary
Sphenoid sinus cholesterol granulomas can cause abducens nerve palsy. This rare condition should be considered in patients with this specific presentation.
Area of Science:
- Neurology
- Otolaryngology
- Pathology
Background:
- Sphenoid sinus cholesterol granulomas are rare benign tumors.
- Abducens nerve palsy is a cranial nerve disorder affecting eye movement.
Observation:
- Two patients presented with sphenoid sinus cholesterol granulomas and unilateral abducens nerve palsies.
- A literature review identified nine previously reported cases of sphenoid sinus cholesterol granulomas.
Findings:
- This is the first report of sphenoid sinus cholesterol granulomas presenting with abducens nerve palsy.
- No prior literature documented this specific association.
Implications:
- Cholesterol granulomas should be included in the differential diagnosis for expansile sphenoid sinus masses with abducens nerve palsy.
- This finding expands the known clinical presentations of sphenoid sinus cholesterol granulomas.
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