Large sphenoid mucocele presenting with cranial neuropathies in a 10-year-old boy: case report and literature review

Chang, Hsun-Hsien; Silva, Michael; Weng, John; Reilly, Erin; Levine, Corinna G.; McCrea, Heather J.

doi:10.1007/s00381-021-05314-5

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Mucoceles are encapsulated fluid-filled lesions, that can represent in paranasal sinus cavities and there is rarely involvement of sphenoid sinus (up to 3% of all cases) as they are often present in individuals aged over 40 [7]. Since the optic canal and the optic nerve have a closer relationship with the posterior part of the sphenoethmoidal sinus, the Onodi cells which are usually found in that part can cause serious retrobulbar optic neuropathy and in association with cholesterol granuloma, it causes bone destruction and compression [8,10,11].…”

Section: Discussionmentioning

confidence: 99%

“…The most prevalent intracranial pathologies that can lead to optic neuropathies are lesions in the sellar and parasellar areas such as pituitary tumors, meningiomas, craniopharyngiomas, and intracerebral lesions affecting the visual pathways, as well as primary or secondary hydrocephalus. In addition to numerous main ophthalmologic illnesses [3], rhinogenic optic neuritis may also be induced by sphenoid sinus mucocele with sinusitis, ethmoiditis, and onodi cell inflammation [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Secondary optic neuropathy due to sphenoid-ethmoidal sinus mucocele

Khasanov,

Alikhodjayeva,

Yakubov

et al. 2023

roneuro

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Secondary visual impairment induced by sinusitis is a rare condition that cannot be recognized in all cases. A steady decline in visual acuity and visual field together or alone is the main symptom patients may complain of on admission. This might be hard for general practitioners in Uzbekistan, as possible causes are either intracranial or ophthalmic abnormalities. Hence, it is frequently misdiagnosed or leads to late diagnosis once visual impairment becomes severe. In this paper, we discuss the case of a 9-year-old boy with impaired vision on the left side that was detected almost too late and could have led to complete vision loss. Ineffective conservative therapy was provided for four months. CT and MRI confirmed a lesion in the left sphenoethmoidal sinus. The patient then underwent endoscopic sphenoiethmodotomy with drainage of the left sphenoethmoidal sinus. In the early postoperative phase, as early as the next day after the surgical procedure, the patient experienced visual improvement. Forty days following surgery, in combination with postoperative conservative care in an eye hospital, there was a noticeable improvement in vision. In conclusion, it is crucial for ophthalmologists, neurologists, and ENT surgeons to focus on inflammation in the sphenoethmoidal sinus in children even with mild vision impairment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Secondary optic neuropathy due to sphenoid-ethmoidal sinus mucocele

Khasanov,

Alikhodjayeva,

Yakubov

et al. 2023

roneuro

View full text Add to dashboard Cite

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A giant sphenoid sinus mucocoele

Swain

2022

Journal of Clinical and Scientific Research

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Sphenoid sinus mucocoele is an extremely rare clinical entity. Patients of the sphenoid sinus mucocoele may present with a myriad of symptoms. The presenting symptoms are often non-specific and patients may be asymptomatic. We report the occurrence of a giant sphenoid sinus mucocoele in a 56-year-old female. The patient was treated with transnasal endoscopic widening of the sphenoid ostium and marsupialization of the mucocoele.

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Large sphenoid mucocele presenting with cranial neuropathies in a 10-year-old boy: case report and literature review

Cited by 2 publications

References 12 publications

Secondary optic neuropathy due to sphenoid-ethmoidal sinus mucocele

Secondary optic neuropathy due to sphenoid-ethmoidal sinus mucocele

A giant sphenoid sinus mucocoele

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