Headache induced by the sphenoid sinus mucocele

Lee, Kyu Eun; Kim, Kyung Soo

doi:10.1016/j.bjorl.2014.05.029

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Headaches caused by sphenoid sinus mucoceles occur primarily in the retrobulbar position in the early stages15 and are usually bilateral and progressive. Discomfort caused by the mucocele can be relieved by the administration of nonsteroidal anti-inflammatory drugs 16. Due to tissue compression around the sphenoid sinus by mucocele expansion and secondary infections, headaches are usually associated with sensory and deep pain, which can occur in any part of the head 17.…”

Section: Discussionmentioning

confidence: 99%

“…Discomfort caused by the mucocele can be relieved by the administration of nonsteroidal antiinflammatory drugs. 16 Due to tissue compression around the sphenoid sinus by mucocele expansion and secondary infections, headaches are usually associated with sensory and deep pain, which can occur in any part of the head. 17 In addition, due to mucocele expansion and the absorption and destruction of bone around the sphenoid sinus wall, headaches may also be caused by the effects of mucocele stretching on the surface of the sphenoid bone and on the dura mater of the anterior cranial fossa.…”

Section: Discussionmentioning

confidence: 99%

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Nasal Sinus Mucoceles Manifesting Ocular Symptoms

Peng

Yue

Zhang

et al. 2022

Journal of Craniofacial Surgery

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Introduction: To describe the ocular symptoms in a series of patients with nasal sinus mucoceles of different locations. Methods: The authors analyzed the diagnosis and treatment of patients with sinus mucoceles and ocular symptoms who presented to the hospital from February 2010 to April 2020. A total of 61 patients were included in the study. The locations of the mucoceles were the frontal sinus (8 patients), ethmoid sinus (25 patients), and sphenoid sinus (28 patients). The authors selected 1 typical mucocele case from each of the sinuses, including the frontal, ethmoid, and sphenoid sinuses, and analyzed the history, diagnosis, and treatment of mucoceles in each location. Results: The main clinical manifestations were ophthalmic symptoms, such as exophthalmos or displacement, eye pain, blindness or decreased vision, blepharoptosis, and diplopia; no obvious nasal symptoms were noted. Most patients with these symptoms went to an ophthalmologist first. All lesions in this study were found through imaging examinations. Most symptoms improved after surgical interventions. Only 2 of the 61 patients had no improvement in vision because of the long period of vision loss. Conclusions: Although sinus mucoceles are located in the sinuses, ocular symptoms are more prevalent than nasal symptoms. The earlier the imaging examinations are performed; the sooner lesions are detected, and the patients can be treated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nasal Sinus Mucoceles Manifesting Ocular Symptoms

Peng

Yue

Zhang

et al. 2022

Journal of Craniofacial Surgery

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“…It could be due to mucosal inflammation of the paranasal sinuses, referred along the distribution of the ophthalmic division of the trigeminal nerve, or local bony destruction and irritation of the overlying dura. Also certain inflammatory cytokines such as TNF alpha, IL-6, IL-1, and PGE2 are found within the mucoceles which may cause trigeminal sensitization [5] The investigations for diagnosis of a sphenoid sinus mucocele include CT scan and MRI scans of the paranasal sinuses. The CT scan would show a hypodense cystic lesion in the sphenoid sinus with or without extension to the adjacent sellar and parasellar regions.…”

Section: Discussionmentioning

confidence: 99%

Sphenoidal mucocele presenting with persistent headache: a case report

Hegde

Vamanshankar

Saxena

et al. 2016

Acta Oto-Laryngologica Case Reports

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Mucocele of sphenoid sinus can present with a myriad of symptoms; headache is one of them and sphenoidal mucocele has to be kept in mind when evaluating patients with headache. It can be characterized by an asymptomatic initial period. We present a case of a 75-year-old diabetic and non-hypertensive female patient, presented with persistent headache since six months. After consulting with neurology, neurosurgery and ophthalmology, she was referred to the department of otolaryngology. Computed tomography and magnetic resonance imaging showed features consistent with sphenoidal mucocele with partial erosion of the sella. Endoscopic drainage of the sphenoidal mucocele with bilateral wide sphenoidotomy with posterior septectomy was done; the sphenoid sinus was irrigated with normal saline. The patient's symptoms improved dramatically in the post-operative period. Sphenoidal mucocele may be an unusual cause of persistent headache. Early diagnosis and treatment are necessary to avoid potential complications.

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“…Uncommon, but serious, complications include meningitis, brain abscess, orbital cellulitis, orbital abscess, and mucocele (10). A mucocele is a benign, but potentially destructive, mucus-containing cyst that can form in any of the sinuses and may present with a progressive headache and cranial nerve palsies due to compression, especially in the sphenoid sinus (55,56).…”

Section: Treatmentmentioning

confidence: 99%

Headache and rhinosinusitis: A review

Ceriani

Silberstein

2020

Cephalalgia

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Purpose of review To explain our current understanding of headache attributed to rhinosinusitis, an often inappropriately diagnosed secondary headache. Recent findings Recent studies have shown that headache attributed to rhinosinusitis is often over-diagnosed in patients who actually have primary headache disorders, most commonly migraine. Failure to recognize and treat rhinosinusitis, however, can have devastating consequences. Abnormalities of the sinuses may also be treatable by surgical means, which may provide headache relief in appropriately selected patients. Summary It is important for the practicing physician to understand how rhinosinusitis fits into the differential diagnosis of headache, both to avoid overdiagnosis in patients with primary headache, and to avoid underdiagnosis in patients with serious sinus disease.

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Headache induced by the sphenoid sinus mucocele

Cited by 6 publications

References 6 publications

Nasal Sinus Mucoceles Manifesting Ocular Symptoms

Nasal Sinus Mucoceles Manifesting Ocular Symptoms

Sphenoidal mucocele presenting with persistent headache: a case report

Headache and rhinosinusitis: A review

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