Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base
Joint Authors
Matsumoto, Yuma
Fujiwara, Masachika
Kawada, Michitsugu
Saito, Koichiro
Naito, Shoji
Yokoi, Hidenori
Inomata, Kohei
Ohara, Arisa
Source
Case Reports in Otolaryngology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Primary solitary sphenoid sinus mucocele is rare, generally presenting with headaches or eye symptoms at the anatomical site.
We report the case of a 39-year-old woman incidentally diagnosed with sphenoid sinus mucocele during a complete medical checkup.
Imaging revealed that the cystic wall had developed from the rear sphenoid sinus and had spread expansively to diminish the clivus; however, no symptoms were reported, and the patient was managed with close observation.
During the follow-up period, diplopia developed suddenly due to isolated left-sided abducens nerve paralysis.
An endoscopic endonasal approach was used to open the frontal cystic wall, and fascia lata and fat were used for cranial base reinforcement to avoid future cerebrospinal fluid leakage, resulting in improvement during the early stages of follow-up.
Treatment options for sphenoid sinus mucoceles include close observation or surgery.
In our case, we chose surgery because of an acute symptomatic manifestation during observation.
American Psychological Association (APA)
Naito, Shoji& Yokoi, Hidenori& Matsumoto, Yuma& Kawada, Michitsugu& Inomata, Kohei& Fujiwara, Masachika…[et al.]. 2020. Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base. Case Reports in Otolaryngology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1150330
Modern Language Association (MLA)
Naito, Shoji…[et al.]. Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base. Case Reports in Otolaryngology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1150330
American Medical Association (AMA)
Naito, Shoji& Yokoi, Hidenori& Matsumoto, Yuma& Kawada, Michitsugu& Inomata, Kohei& Fujiwara, Masachika…[et al.]. Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base. Case Reports in Otolaryngology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1150330
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150330