Neuro-Ophthalmology & Visual Neuroscience. 2021, 6(1), 1-3
DOI: 10.12691/novn-6-1-1
Open AccessCase Report
Kumar S1, Mehra R1 and Chauhan N2
1Department of Otolaryngology and Head Neck Surgery, Dr. Rajendra Prashad Government Medical College Tanda, Kangra H.P. India
2Department of Radiodiagnosis, Dr. Rajendra Prashad Government Medical College Tanda, Kangra H.P. India
Pub. Date: March 28, 2021
Cite this paper:
Kumar S, Mehra R and Chauhan N. Acute Third Nerve Palsy with Pupillary Sparing: A Rare Manifestation of Sphenoid Sinus Mucocele. Neuro-Ophthalmology & Visual Neuroscience. 2021; 6(1):1-3. doi: 10.12691/novn-6-1-1
Abstract
Mucocele of para-nasal sinus is a rare entity resulting from chronic accumulation of mucoid secretion, leading to progressive thinning of sinus bony wall. We are presenting a case report of a middle age female patient with sphenoid mucocele causing sudden third cranial nerve palsy with pupil sparing. She was managed by urgent endoscopic marsupialzation.Keywords:
Sphenoid mucocele third nerve palsy endoscopic sinus surgery
This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit
http://creativecommons.org/licenses/by/4.0/
References:
[1] | Lee JC, Park SK, Jang DK, Lin, Han YM. Isolated sphenoid sinus mucocele presenting as third nerve palsy. J Korean Neuro-surg Soc 2010: 48; 360-362. |
|
[2] | Giordana M, Gerganov VM, Draf W, Fahlbusch R. Sphenoid sinus pyocele after trans-sphenoidal approach for pituitary adenoma. Pituitary 2012; 15: 188-192. |
|
[3] | Friedman A, Batra PS, Fakhri S, Citardi MJ, Lanza DC. Isolated sphenoid sinus disease: Etiology and management. Otolaryngol Head Neck Surg. 2005; 133: 544-50. |
|
[4] | Cheng SM, Sanjay S, Chew C, Yuen HW. Sphenoid mucocele presenting as cranial nerve palsies. Saudi Journal of opthalmology. 2012; 26: 459-461. |
|
[5] | Lew, Southwick FS, Montgomery W, Weber AL, Baker AS. Sphenoid sinusitis: A review of 30 cases. The New England Journal of Medicine. 1983:309(19): 1149-1155. |
|
[6] | Sethi DS, Lau DP, Chan C. Sphenoid sinus mucocele presenting with isolated oculomotor nerve palsy. J Laryngol Otol. 1997; 111: 471-3. |
|
[7] | Casteels I, Loof E De, Brook P, Jorissen M, Dralands L, Miissotten L, Wilms G. Sudden blindness in a child: presenting symptoms of sphenoid sinus mucocele. British J Opthal 1992; 76: 502-504. |
|
[8] | Kataria R, Gupta S, Chopra S. Mucocele of the sphenoid sinus: A rare cause of reversible 3rd nerve palsy. Ann Indian Acad Neurol. 2012; 15: 158-60. |
|
[9] | Nugent GR, Sprinkle P, Bloor BM. Sphenoid sinus mucocele. J Neurosurg. 1970; 32: 443-451. |
|
[10] | Friedmann G, Harrison S: Mucocele of the sphenoidal sinus as a cause of recurrent oculomotor nerve palsy. J Neurol Neurosurg Psychiatry. 33: 172-179, 1970. |
|
[11] | Nadeae SE, Trobe JD. Pupil sparing in Occulomotor palsy: a brief review. Ann Neurology 1983; 13: 143-148. |
|
[12] | Levine HL, Clemente MP. In: Levine HL ,Editor .Sinus surgery : endoscopic and microscopic approaches. New York: Thieme medical publishers; 2004. p77. |
|
[13] | Lund VJ .Endoscopic management of paranasal sinus mucocele. J Laryngol Otol. 1998; 112: 36-40. |
|