Giant Intradural Mucocele in a Patient with Adult Onset Seizures

Kechagias, E.; Georgakoulias, Nikolaos; Ioakimidou, C.; Kyriazi, Stavroula; Kontogeorgos, George; Seretis, Andreas

doi:10.1159/000227265

Cited by 9 publications

(15 citation statements)

References 9 publications

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“…The size and shape varies more than any other cavity of the skull in dogs, and depends on breed skull conformation and age [2]. Mucoceles of the paranasal sinuses are chronic, expanding, mucosa-lined lesions characterized by mucous retention, which can be infected, becoming a mucopyocele [3]. They originate from obstructed sinus outfl ow caused by congenital anomalies, trauma, benign or malignant tumors, infection, infl ammation, allergy, and post-surgical complications [4].…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Findings in a Case of Giant Frontal Sinus Mucopyocele in a Dog

et al. 2018

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A 16-month-old male crossbreed dog, which suffered a previous traumatic incident, was presented for evaluation of a chronic fluctuant right supraorbitary mass. On computed tomography, a well-defined, expansile, hypodense mass, showing a thin peripheral enhancement was occupying the right frontal sinus and extending into the cranial cavity. Imaging findings, bacteriological culture, and histopathology of the surgically excised mass were consistent with a frontal sinus mucopyocele. Frontal sinus mucopyocele should be included as a differential diagnosis for a well-marginated expansile frontal sinus mass, especially when present in young animals or/and associated with a previous craniofacial trauma.

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Section: Introductionmentioning

confidence: 99%

Computed Tomography Findings in a Case of Giant Frontal Sinus Mucopyocele in a Dog

et al. 2018

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“…The differential radiology diagnoses were dermoid cyst, histiocytosis, fungal infection, low-grade gliomas, and post-traumatic injury. [ 3 5 6 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 12 ] When infected, this collection characterizes the mucopyocele, which can obstruct adjacent bone structures causing a fast expansion because of early infection. [ 5 9 ]…”

Section: Introductionmentioning

confidence: 99%

Giant mucopyocele associated with intracranial hypertension: Case report and literature review

et al. 2017

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Background:Mucoceles are epithelial lined sacs that contain mucous. Eventually, they can be infected and so called mucopyoceles, which are usually slow growing lesions with common bone destruction located in the facial sinus. Mucoceles show multivariate etiology and occur between the fourth and seventh decade of life.Case Description:Patient, 55-year-old, female, was referred unconscious with Cushing's triad to our department; she had fever since four days. The findings of skull computer tomography highlighted a large bifrontal lesion with an invasion of the rear wall of the frontal sinus, compression of the frontal lobes, and midline deviation. She was taken for an emergency surgery, which showed invasion of the dura and mucous infection. Postoperatively, there was a fast recovery of neurologic level and extubation on the second postoperative day. She took antibiotics for 14 days and was discharged from the hospital without neurologic deficits.Conclusions:Mucopyoceles are usually slow growing lesions that rarely increases rapidly. Our patient presented signs of intracranial hypertension; therefore, it was necessary to have quick surgical intervention.

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“…The T1-weighted imaging can vary based on the proportion of mucus, water, and protein contents. [5][6][7] Showing no contrast enhancement helps differentiate a mucocele from other naso-sinusal tumors. CT scans are much better at delineating the extent of the lesion and its relations to the surrounding structures as compared to an MRI.…”

Section: Discussionmentioning

confidence: 99%

Large mucocele with intracranial and intraorbital extension

Seemai

2017

ASEAN J Radiol

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A 26-year-old female had had progressive right eye blindness for 13 years. She did not have any other complaints such as headache, seizure, or weakness. At that time she was admitted to a local hospital and Computed tomography (CT) imaging was performed, showing a mass at left maxillary sinus with extracranial extension. The caring physician advised surgery but her family refused due to financial problem. A year later, she developed complete bilateral eye blindness and the subsequent CT revealed larger size of the mass. She was referred to a tertiary hospital for surgery but she lost follow-up. In this visit, she had foul-smelling discharge per left nostril without fever for 2 weeks followed by seizure and headache for 2 days. She had no underlying disease, no history of seizure and head trauma.Physical examination revealed that her vital signs were normal; body temperature of 36.7*c, blood pressure of 100/69 mmHg, pulse rate of 110/ minute, and respiratory rate of 24/ minute. Both pupils were dilated (8 mm/ 8 mm). Light reflexes were diminished in both eyes as well as proptosis with more severity in the left eye. The fundus scope showed bilateral markedly pale discs. There was a mass protruding outside both nostrils. The cranial nerve examination and neurological examinations were normal.Laboratory investigation for hormonal levels (Free-T4, TSH, HGH cortisol, FSH, LH, prolactin) were all in normal ranges.

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Giant Intradural Mucocele in a Patient with Adult Onset Seizures

Cited by 9 publications

References 9 publications

Computed Tomography Findings in a Case of Giant Frontal Sinus Mucopyocele in a Dog

Computed Tomography Findings in a Case of Giant Frontal Sinus Mucopyocele in a Dog

Giant mucopyocele associated with intracranial hypertension: Case report and literature review

Large mucocele with intracranial and intraorbital extension

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