Mucocoele of the sphenoidal sinus as a cause of recurrent oculomotor nerve palsy.

Friedmann, G; Harrison, Spencer

doi:10.1136/jnnp.33.2.172

Cited by 42 publications

(22 citation statements)

References 30 publications

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“…Moriyama et al pointed out that the mechanisms of visual disturbance created by a sphenoethmoidal mucocele are due to circulatory disorders caused by the mechanical pressure of the mucocele on the optic nerve and/or the spread of inflammation involving the optic nerve [8]. Although the optic nerve is the most frequently involved cranial nerve with reduction of visual acuity (occurring in almost 65% of the cases), the oculomotor nerve seems to be involved in terms of frequency, although to a lesser degree, in the formation of a mucocele of the sphenoid [2,15,16]. We agree with Sethi et al that the importance of a sphenoid sinus mucocele presenting with an isolated oculomotor nerve palsy, lies in the differential diagnosis [15].…”

Section: Discussionmentioning

confidence: 97%

Endoscopic treatment of paranasal sinus mucoceles in children

Sciarretta

Pasquini

Farneti³

et al. 2004

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 97%

Endoscopic treatment of paranasal sinus mucoceles in children

Sciarretta

Pasquini

Farneti³

et al. 2004

International Journal of Pediatric Otorhinolaryngology

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“…The oculomotor nerve is affected more frequently than the trochlear and abducens nerve. Oculomotor nerve involvement accounted for 70% of ocular palsies 3) . As a result of the peripheral location of the pupillary fibers in the oculomotor nerve, compressive lesions such as aneurysms or tumors that produce third nerve palsie usually produce ocular motility disturbance and iridoplegia.…”

Section: Discussionmentioning

confidence: 99%

“…The optic nerve is the most frequently involved cranial nerve with reduction in visual acuity. Palsies of eye movement with diplopia occur in 30-50% of cases 3) . The oculomotor nerve is affected more frequently than the trochlear and abducens nerve.…”

Section: Discussionmentioning

confidence: 99%

Isolated Sphenoid Sinus Mucocele Presenting as Third Nerve Palsy

Lee

Park

Jang

et al. 2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [360][361][362] 2010 A sphenoid mucocele often presents late due to its deep seated anatomical site. And it has varied presentation due to its loose relationship to the cavernous sinus and the base of the skull. We describe a case of large sphenoid sinus mucocele. A middle aged old man suddenly developed third cranial nerve palsy. Brain imaging study revealed an isolated sphenoid sinus mucocele, compressing right cavernous sinus. Endoscopic marsupialization of the mucocele via transnasal approach led to complete resolution of the third cranial nerve palsy. Involvement of the third cranial nerve in isolated mucocele is rare but important neurosurgical implications which must be excluded. In addition, proper and timely treatment must be performed to avoid permanent neurologic deficit. KEY WORDS :Sphenoid sinus mucocele˙ Third nerve palsy˙ Transnasal approach.

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“…El nervio oculomotor se ve afectado más frecuentemente que el nervio troclear o el nervio abductor, siendo el causante del 70% de las parálisis oculares en pacientes con mucocele esfenoidal 11 . La midriasis observada en estos pacientes es debida a la compresión de las fibras parasimpáticas pupilomotoras que viajan en la porción superficial del tercer nervio craneal 12 .…”

Section: Discussionunclassified

Síndrome de seno cavernoso secundario a mucocele esfenoidal

Reyes-Rodríguez

García-Cázares

Caballero-Espinoza

et al. 2015

Revista Mexicana de Oftalmología

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Cómo citar este artículo: Reyes-Rodríguez AA, et al. Síndrome de seno cavernoso secundario a mucocele esfenoidal. Rev Mex Oftalmol. 2015. http://dx.Recibido el 11 de septiembre de 2014; aceptado el 19 de enero de 2015 PALABRAS CLAVE Mucocele; Seno esfenoides; Mucocele esfenoidal; Síndrome seno cavernoso ResumenIntroducción: Los mucoceles son masas benignas, quísticas, expansivas, localmente invasivas, localizadas en los senos paranasales que ocurren en el seno frontal aproximadamente en el 65%, etmoidal en el 25%, maxilar en el 10% y esfenoidal, extremadamente rara, en el 1%. Los síntomas son causados principalmente por compresión de estructuras adyacentes por expansión gradual y erosión de las paredes óseas, generando manifestaciones oftalmológicas como dolor e inflamación periorbitaria en el 39%, exoftalmos en el 24%, disminución de agudeza visual en el 17%, diplopía en el 13% y alteración de músculos extraoculares en el 5%. Presentación del caso: Paciente masculino de 90 años acudió por presentar ptosis palpebral izquierda, cefalea ipsilateral y diplopía de inicio súbito sin antecedentes de trauma o cirugía previa. Discusión: El mucocele esfenoidal es una enfermedad rara y debido a su curso insidioso se diagnostica de forma tardía, siendo de elección la tomografía axial computarizada de senos paranasales con contraste, con apoyo en las manifestaciones oftalmológicas. * Autor para correspondencia. Av. Cuauhtémoc #330, Colonia Doctores. CP 06720 Delegación Cuauhtémoc, México, Distrito Federal, Tel.: +55 64 16 80 25.Correo electrónico: antonio reyes 3@hotmail.com (A.A. Reyes-Rodríguez).http://dx.

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Mucocoele of the sphenoidal sinus as a cause of recurrent oculomotor nerve palsy.

Cited by 42 publications

References 30 publications

Endoscopic treatment of paranasal sinus mucoceles in children

Endoscopic treatment of paranasal sinus mucoceles in children

Isolated Sphenoid Sinus Mucocele Presenting as Third Nerve Palsy

Síndrome de seno cavernoso secundario a mucocele esfenoidal

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