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Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base

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 dev...

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Autores principales: Naito, Shoji, Yokoi, Hidenori, Matsumoto, Yuma, Kawada, Michitsugu, Inomata, Kohei, Fujiwara, Masachika, Ohara, Arisa, Saito, Koichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7686843/
https://www.ncbi.nlm.nih.gov/pubmed/33282425
http://dx.doi.org/10.1155/2020/8897868
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author Naito, Shoji
Yokoi, Hidenori
Matsumoto, Yuma
Kawada, Michitsugu
Inomata, Kohei
Fujiwara, Masachika
Ohara, Arisa
Saito, Koichiro
author_facet Naito, Shoji
Yokoi, Hidenori
Matsumoto, Yuma
Kawada, Michitsugu
Inomata, Kohei
Fujiwara, Masachika
Ohara, Arisa
Saito, Koichiro
author_sort Naito, Shoji
collection PubMed
description 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.
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spelling pubmed-76868432020-12-04 Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base Naito, Shoji Yokoi, Hidenori Matsumoto, Yuma Kawada, Michitsugu Inomata, Kohei Fujiwara, Masachika Ohara, Arisa Saito, Koichiro Case Rep Otolaryngol Case Report 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. Hindawi 2020-09-30 /pmc/articles/PMC7686843/ /pubmed/33282425 http://dx.doi.org/10.1155/2020/8897868 Text en Copyright © 2020 Shoji Naito et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Naito, Shoji
Yokoi, Hidenori
Matsumoto, Yuma
Kawada, Michitsugu
Inomata, Kohei
Fujiwara, Masachika
Ohara, Arisa
Saito, Koichiro
Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base
title Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base
title_full Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base
title_fullStr Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base
title_full_unstemmed Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base
title_short Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base
title_sort abducens nerve paralysis induced by a primary solitary sphenoid sinus mucocele with broad osseous thinning at the cranial base
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7686843/
https://www.ncbi.nlm.nih.gov/pubmed/33282425
http://dx.doi.org/10.1155/2020/8897868
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