Isolated Abducens Nerve Palsy Secondary to Isolated Sphenoid Sinus Disease: Case Series

2016 ◽  
Vol 9 (3) ◽  
pp. 137-140
Author(s):  
Anilkumar Suryadev Harugop ◽  
Ramesh S Mudhol ◽  
Shama A Bellad ◽  
Priti S Hajare ◽  
Dharmishtha R Kaku ◽  
...  
Keyword(s):  
Sphenoid Sinus ◽  
Nerve Palsy ◽  
Case Series ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Sinus Surgery ◽  
Blurred Vision ◽  
Sinus Disease ◽  
Disease Case ◽  
Headache Diagnosis

ABSTRACT Isolated sphenoid sinusitis is a rare entity. Due to noncharacteristic primary manifestations, most of the patients present with ophthalmic complications, most commonly proptosis and diplopia. We report here the case series of two patients who presented with diplopia, blurred vision, and headache. Diagnosis of isolated abducens nerve palsy secondary to isolated sphenoid sinus disease was made, and both the patients underwent endoscopic sinus surgery (ESS). We hereby propose that prompt diagnosis and treatment of isolated sphenoidal sinusitis is very important, and abducens nerve (CN6) palsy could be attributed to the disease condition as both the patients’ condition improved after surgery. How to cite this article Harugop AS, Mudhol RS, Bellad SA, Hajare PS, Kaku DR, Hiremath B. Isolated Abducens Nerve Palsy Secondary to Isolated Sphenoid Sinus Disease: Case Series. Clin Rhinol An Int J 2016;9(3):137-140.

Long-term stenting for chronic frontal sinus disease: case series and literature review

2010 ◽  
Vol 124 (11) ◽  
pp. 1216-1222 ◽  
Author(s):  
B Hunter ◽  
S Silva ◽  
R Youngs ◽  
A Saeed ◽  
V Varadarajan
Keyword(s):  
Frontal Sinus ◽  
Relevant Literature ◽  
Case Series ◽  
Outflow Tract ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Narrow Channels ◽  
Co Morbidity ◽  
Disease Case

AbstractObjective:The frontal sinus outflow tract consists anatomically of narrow channels prone to stenosis. Following both endonasal and external approach surgery, up to 30 per cent of patients suffer post-operative re-stenosis of the frontal sinus outflow tract, with recurrent frontal sinus disease. This paper proposes the surgical placement of a long-term frontal sinus stent to maintain fronto-nasal patency, as an alternative to more aggressive surgical procedures such as frontal sinus obliteration and modified Lothrop procedures.Design:We present a series of three patients with frontal sinus disease and significant co-morbidity, the latter making extensive surgery a significant health risk. We also review the relevant literature and discuss the use of long-term frontal sinus stenting.Results:These three cases were successfully treated with long-term frontal sinus stenting. Stents remained in situ for a period ranging from 48 to over 60 months.Conclusion:Due to the relatively high failure rates for both endonasal and external frontal sinus surgery, with a high post-operative incidence of frontal sinus outflow tract re-stenosis, long-term stenting is a useful option in carefully selected patients.

scholarly journals Unilateral abducens nerve palsy: a presenting sign of sphenoid sinus mucocoeles

1997 ◽  
Vol 111 (7) ◽  
pp. 644-646 ◽  
Author(s):  
A. Muneer ◽  
N. S. Jones
Keyword(s):  
Sphenoid Sinus ◽  
Nerve Palsy ◽  
Surgical Intervention ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Mechanical Compression ◽  
Pathological Conditions ◽  
Adjacent Structures ◽  
Relative Rarity ◽  
Early Surgical Intervention

AbstractSphenoid sinus mucocoeles can stimulate a variety of pathological conditions and patients can present to a range of specialists. Because of the relative rarity of sphenoid sinus mucocoeles, diagnosis is often delayed and these lesions can progressively expand and cause direct mechanical compression on adjacent structures. We present three cases which presented with an abducens nerve palsy. Early surgical intervention is advocated and these patient's symptoms resolved following surgery. Although several conditions can present with an abducens nerve palsy, it is important to consider a sphenoid sinus mucocoele in the differential diagnosis.

Lymphoma of the sphenoid sinus presenting as abducens nerve palsy in a child

2018 ◽  
Vol 22 (3) ◽  
pp. 138-140
Author(s):  
Lia Stepan ◽  
Chi-Kee Leslie Shaw
Keyword(s):  
Sphenoid Sinus ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy

scholarly journals Intracranial Complication of Rhinosinusitis from Actinomycosis of the Paranasal Sinuses: A Rare Case of Abducens Nerve Palsy

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
G. L. Fadda ◽  
M. Gisolo ◽  
E. Crosetti ◽  
A. Fulcheri ◽  
G. Succo
Keyword(s):  
Nerve Palsy ◽  
Unusual Case ◽  
Clinical Symptoms ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Sinus Surgery ◽  
Facial Trauma ◽  
History Of ◽  
Extent Of Disease

Sinonasal actinomycosis should be suspected when a patient with chronic sinusitis does not respond to medical therapy or has a history of facial trauma, dental disease, cancer, immunodeficiency, long-term steroid therapy, diabetes, or malnutrition. Radiological evaluation with computed tomography and magnetic resonance imaging are important in differential diagnosis, evaluating the extent of disease, and understanding clinical symptoms. Endoscopic sinus surgery associated with long-term intravenous antibiotic therapy is the gold standard for treatment of sinonasal actinomycosis. We report an unusual case of abducens nerve palsy resulting from invasive sinonasal actinomycosis in a patient with an abnormally enlarged sphenoid sinus. A review of the current literature highlighting clinical presentation, radiological findings, and treatment of this uncommon complication is also presented.

Sign in / Sign up

Export Citation Format

Share Document