Open AccessMucocele of the sphenoid sinus: A rare cause of reversible 3 rd nerve palsy
Author(s) -
Rashim Kataria,
Swati Gupta,
Sanjeev Chopra,
H Bagaria,
Virendra Deo Sinha
Publication year - 2012
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.95006
Subject(s) - medicine , mucocele , sinus (botany) , palsy , anatomy , surgery , pathology , botany , biology , genus , alternative medicine
Ophthalmoplegia due to 3(rd) nerve palsy is a common occurrence, and is usually a sign of diabetes mellitus or a serious intracranial disease. We report a rare case of pupil sparing 3(rd) nerve palsy caused by mucocele of the sphenoid sinus. The patient regained 3(rd) nerve functions after successful decompression of the mucocele. Early and correct diagnosis of this relatively benign condition is important to prevent permanent neurological deficits, including visual loss by optic nerve atrophy. Etiology, clinical manifestations and treatment of the sphenoid mucoceles is discussed and available literature is reviewed.