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Sphenoidal mucocele with cavernous sinus invasion
Journal of the American Optometric Association
|August 1, 1993
Abstract
Background:
Intracranial extension of a sphenoidal mucocele may be marked by persistent headache, nerve palsies, and total or partial vision loss.
Methods:
A 74-year-old white male was examined with right frontotemporal headache and constant diplopia. Previously, he had noticed a droop in his right eyelid.
Results:
Careful ophthalmic examination and laboratory studies, including computed tomography revealed a sphenoid mucocele with complications. As a result, the patient underwent a sphenoidectomy.
Conclusions:
The evaluation of patients with acute onset of multiple eye and vision problems can often lead to a significant neurologic diagnosis.