Sphenoid sinus mucocele with unilateral blindness – a case report

Česká verzia

Authors: J. Šulhin ¹ ; J. Mičaník ³ ; J. Lubojacký ¹ ; A. Kopecký ^2,4 ; P. Matoušek ^1,2 ; Pavel Komínek ^1,2
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Ostrava ¹; Katedra kraniofaciálních oborů, LF OU v Ostravě ²; Radiodia gnostický ústav, FN Ostrava ³; Oční klinika, FN Ostrava ⁴
Published in the journal: Otorinolaryngol Foniatr, 70, 2021, No. 4, pp. 243-245.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl2021243

Summary

Mucocele of the paranasal sinuses are benign cystic lesions filled with mucus. They occur in the sphenoid sinus in 1–2% of all paranasal sinuses, most often in the fourth decade of life. Clinical manifestations are non-specific, caused by pressure expansion into anatomical structures immediately adjacent to the sphenoid sinus. They are manifested by headaches, dropped eyelids, impaired movement of the globe, and impaired vision. In the differential diagnosis, it is necessary to distinguish them from tumour processes and processes propagating from the intracranium. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) play an important role in the diagnosis, the definitive diagnosis is determined by perioperative findings and histological examination. Curative surgical options include endoscopic transnasal sphenoidotomy with marsupialization. In this article, we present a case of a patient with a mucocele of the sphenoid sinus, which was the cause of unilateral blindness.

Keywords:

marsupialization – mucocele – sphenoid sinus – endoscopic transnasal sphenoidotomy

Zdroje

1. Lund VJ. Endoscopic management of paranasal sinus mucocoeles. J Laryngol Otol 1998; 112 (1): 36–40. Doi: 10.1017/s0022215100139854.

2. Andrašovská M, Mudrák J, Kovaľ J. Mukokéla a pyokéla prínosových dutín. Otorinolaryngol Foniatr 2002; 51 (2): 111–115.

3. Bahgat M, Bahgat Y, Bahgat A. Sphenoid sinus mucocele. BMJ Case Rep 2012; 2012. Doi: 10.1136/bcr-2012-007130.

4. Ferrie JC, Klossek JM. Mucocele of the sphenoid sinus. J Neuroradiol 2003; 30 (4): 219–223.

5. Friedman A, Batra PS, Fakhri S et al. Isolated sphenoid sinus disease: etiology and management. Otolaryngol Head Neck Surg 2005; 133 (4): 544–550. Doi: 10.1016/j.otohns.2005.04. 023.

6. Dzhambazov KB, Traykova NI, Yovchev IP. Endonasal surgery in mucopyocele of the paranasal sinuses. Folia Med (Plovdiv) 2001; 43 (4): 19–22.

7. Giovannetti F, Filiaci F, Ramieri V et al. Isolated sphenoid sinus mucocele: etiology and management. J Craniofac Surg 2008; 19 (5): 1381– –1384. Doi: 10.1097/SCS.0b013e31818437d6.

8. Darouassi Y, Righini CA, Reyt E. Mucoceles of the sphenoidal sinus: a report of four cases and review of the literature. B-ENT 2005; 1 (4): 181–185.

9. Kataria R, Gupta S, Chopra S et al. Mucocele of the sphenoid sinus: A rare cause of reversible 3 (rd) nerve palsy. Ann Indian Acad Neurol 2012; 15 (2): 158–160. Doi: 10.4103/0972-2327.95006.

10. Kosling S, Hintner M, Brandt S et al. Mucoceles of the sphenoid sinus. Eur J Radiol 2004; 51 (1): 1–5. Doi: 10.1016/j.ejrad.2003.09.002.

11. Kumagai M, Hashimoto S, Suzuki H et al. Orbital apex syndrome caused by sphenoethmoid mucocele. Auris Nasus Larynx 2003; 30 (3): 295–297. Doi: 10.1016/s0385-8146 (03) 00056-7.

12. Krásný J. Vertikální strabismus – indikace operačních technik dolního přímého svalu. Cesk Slov Oftalmol 2019; 74 (4): 132–139. Doi: 10.31348/2018/1/2-4-2018.

13. Nicolino MP, LeBrigand B, Langevin L et al. Radiological case of the month. Mucocele of the sphenoid sinus. Arch Pediatr Adolesc Med 1997; 151 (1): 93–94. Doi: 10.1001/archpedi.1997. 02170380097016.

14. Yamaguchi K, Ohnuma I, Takahashi S et al. Magnetic resonance imaging in acute optic neuropathy by sphenoidal mucocele. Int Ophthalmol 1997; 21 (1): 9–11. Doi: 10.1023/a: 1005889203677.

15. Vaphiades MS, Roberson GH. Sphenoid sinus mucocele presenting as a third cranial nerve palsy. J Neuroophthalmol 2005; 25 (4): 293–294. Doi: 10.1097/01.wno.0000189829.46763.41.

16. Hantzakos AG, Dowley AL, Yung MW. Sphenoid sinus mucocele: late complication of Sphenoidotomy. J Laryngol Otol 2003; 117 (7): 561–563. Doi: 10.1258/002221503322113021.

17. Kim YS, Kim K, Lee JG et al. Paranasal sinus mucoceles with ophthalmologic manifestations: a 17-year review of 96 cases. Am J Rhinol Allergy 2011; 25 (4): 272–275. Doi: 10.2500/ajra. 2011.25.3624.