Superior Branch Palsy of the Oculomotor Nerve Caused by Frontal Sinusitis

Abstract

Chronic rhinosinusitis is one of the most common inflammatory diseases with a significant impact on the affected patients. Orbital complications, one of the emergent complications of chronic rhinosinusitis, can be occurred in frontal sinusitis. For early diagnosis and therapy of orbital complications, proper evaluation is essential to prevent loss of vision.Recently, the authors diagnose and treat completely a 60-year-old man with isolated unilateral superior branch palsy of the oculomotor nerve caused by frontal sinusitis. Four days after draining the frontal sinusitis, the patient recovered fully from superior branch palsy of the oculomotor nerve. Frontal sinusitis can cause isolated superior branch palsy of the oculomotor nerve in patients with a history of facial trauma.

Neurogenic Blepharoptosis After Medial Orbital Wall Reconstruction

“…Thus, an injury to the nerves innervating these muscles can result in neurogenic blepharoptosis. The levator palpebrae superioris is innervated by the oculomotor nerve and Mueller's muscle by the sympathetic nerve 7 . Anatomically, the oculomotor nerve exits the midbrain, divides into the superior and inferior divisions near the anterior cavernous sinus, and enters the orbit.…”

Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy

“…Isolated superior division palsy of the oculomotor nerve is reported which causes ptosis and limited upgaze due to disruption of innervation to the levator and superior rectus, respectively. 11 Bodily et al describe a case of invasive Streptococcus viridans sphenoethmoiditis leading to an orbital apex syndrome in an immunosuppressed older female with acute myelogenous leukemia. 12 On careful review of the imaging in our case, there is no superior fissure inflammation at the orbital apex.…”

Ophthalmological Perspective on Pediatric Ear, Nose, and Throat Infections

“…Childhood ptosis, which is mostly congenital, can also occur due to a variety of causes [6][7][8]. Secondary ptosis observed in infectious ENT diseases is frequently of the mechanical type, occurring due to inflammatory palpebral edema, whereas neurogenic ptosis can also be encountered occasionally as a result of an affected oculomotor nerve [9][10][11]. Determining the function of the levator muscle, which is primarily responsible for the elevation of the upper eyelid, and investigating the presence of other ocular findings coexisting with blepharoptosis are essential for distinguishing the etiology.…”