Sudden blindness due to isolated sphenoid sinus mucocele and retention cyst

Sharifi, Guive; Jalessi, Maryam; Erfanian, Dariush; Farhadi, Mohammad

doi:10.5935/1808-8694.20130021

Cited by 10 publications

(7 citation statements)

References 5 publications

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“…In 2013, Sharifi et al reported three instances of sudden blindness as a result of isolated sphenoid sinus mucocele and retention cyst. After the endoscopic removal of the mucoceles, total vision and visual field recovery in two cases and partial recovery in the third were achieved [ 12 ]. In 2014, Selvakumar et al presented a rare instance of sphenoethmoidal mucocele leading to bilateral optic neuropathy and unilateral sixth nerve palsy.…”

Section: Discussionmentioning

confidence: 99%

Sphenoid sinus mucocele masquerading as retrobulbar optic neuritis: a case report

Kaveh

Mahya

Zand

et al. 2018

rjo

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Objective: To describe an infrequent instance of sphenoid sinus mucocele presenting as retrobulbar optic neuritis and highlight the value of imaging in the diagnosis and treatment plans.Methods: A woman aged 26 noted a sub-acute decrease in vision in the right eye, which mimicked optic neuritis. Magnetic resonance imaging (MRI) indicated a large mass in the sphenoid sinus, which was in favor of mucocele. Results: Endoscopic sphenoidotomy and marsupialization of the mucocele were carried out, and the diagnosis was confirmed by pathology. The patient was also administered a high dose of corticosteroid, upon which progression of the disease was halted. Unfortunately, no significant improvement in vision was achieved.Conclusions: This report emphasized the important role of imaging in differentiating between different causes of optic neuropathies. A high level of clinical skepticism along with appropriate imaging studies can help diagnose rare causes. With timely management, gratifying results may be achieved.

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Section: Discussionmentioning

confidence: 99%

Sphenoid sinus mucocele masquerading as retrobulbar optic neuritis: a case report

Kaveh

Mahya

Zand

et al. 2018

rjo

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“…Differential diagnoses : fungus ball, which shows very low or "dark" SI on T2W [ 45 ]; sphenoid mucus retention cyst, a more common condition that shows similar SI and density but without completely filling the sinus, it does not determine bony changes nor it shows recognisable walls [ 49 ]; sphenoid sinus inverted papilloma, a rare entity that shows — contrary to the mucocele — homogeneous CE, also of the internal component [ 50 ].…”

Section: Inflammatory Lesions (Table 1 )mentioning

confidence: 99%

A practical overview of CT and MRI features of developmental, inflammatory, and neoplastic lesions of the sphenoid body and clivus

et al. 2022

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The sphenoid bone is an unpaired bone that contributes to the formation of the skull base. Despite the enormous progress in transnasal endoscopic visualisation, imaging techniques remain the cornerstones to characterise any pathological condition arising in this area. In the present review, we offer a bird’s-eye view of the developmental, inflammatory, and neoplastic alterations affecting the sphenoid body and clivus, with the aim to propose a practical diagnostic aid for radiologists based on clinico-epidemiological, computed tomography, and magnetic resonance imaging features.

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“…Los más co-munes son cefalea, pérdida de la visión y parálisis de III y VI pares craneales. [6][7][8] El tratamiento de elección es la esfenoidectomia endoscópica realizando marsupialización de la lesión con retiro completo de su capsula, aunque se reporta un alto porcentaje de recaídas postratamiento. 9 El diagnóstico diferencial incluye sinusitis crónica esfenoidal, bolas fúngicas, neoplasias benignas como el papiloma invertido y rara vez tumores malignos.…”

Section: Introductionunclassified

Mucocele esfenoidal en niña de siete años

Mencías¹,

Guerra²,

Villamor³

et al. 2015

Repert. Med. Cir.

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ResumenLos mucoceles del seno esfenoidal representan de 1 a 2% de todos los de los senos paranasales. Se han reportado 140 casos de los cuales 95% ocurrieron en adultos, siendo un paciente de 11 años el más joven informado. El objetivo es presentar nuestra experiencia en una paciente de siete años de edad con un mucocele del seno esfenoidal. Los signos y síntomas consistieron en cefalea y rinorrea purulenta escasa. El diagnóstico se realizó mediante TAC y RMN de senos paranasales, así como por los hallazgos histopatológicos. El tratamiento consistió en abordaje endoscópico. El diagnóstico precoz es importante para evitar déficit neurológico permanente o alteraciones visuales y nerviosas por vecindad. Se analizó la etiología, manifestaciones y tratamiento de los mucoceles esfenoidales y se revisa la literatura médica disponible. Palabras clave: mucocele, seno esfenoidal, esfenoides, niños, pediátrico, infancia.Abstract Sphenoid sinus mucoceles represent only 1 to 2% of all paranasal mucoceles. Only 140 cases have been reported so far, 95% in adults and an 11-year-old child is the youngest patient reported. Our objective is to describe our experience in a 7-year-old girl with a sphenoid sinus mucocele. Signs and symptoms consisted of headache and mild purulent rhinorrhea. Paranasal sinus CT and MR imaging, as well, as the histopathologic findings allowed the diagnosis. Patient was treated by endoscopic approach. Because of close proximity with vital structures early diagnosis is essential to prevent permanent neurologic deficit, such as, visual or nerve impairment. Etiology, manifestations and treatment of sphenoid sinus mucoceles and relevant medical literature were reviewed.

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Sudden blindness due to isolated sphenoid sinus mucocele and retention cyst

Cited by 10 publications

References 5 publications

Sphenoid sinus mucocele masquerading as retrobulbar optic neuritis: a case report

Sphenoid sinus mucocele masquerading as retrobulbar optic neuritis: a case report

A practical overview of CT and MRI features of developmental, inflammatory, and neoplastic lesions of the sphenoid body and clivus

Mucocele esfenoidal en niña de siete años

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