title: Sudden blindness in a child: presenting symptom of a sphenoid sinus mucocele.
abstract: A 10-year-old girl with no nasal or respiratory symptoms developed a headache lasting a few hours. The next day she became totally blind in the right eye and over 5 days vision in the left eye deteriorated to bare light perception. The diagnosis of a sphenoid sinus mucocele was made radiologically and drainage via an endonasal sphenoidectomy produced 12 ml of brownish fluid. Endoscopic biopsy of the wall confirmed the diagnosis of a mucocele. Steroid treatment was given postoperatively, but vision recovered to 6/12 in the left eye only. The importance of urgent clinical diagnosis and treatment is stressed.
authors.affiliation: University Hospitals KU Leuven, Belgium.
authors.forename: I
authors.initials: I
authors.lastname: Casteels
authors.forename: E
authors.initials: E
authors.lastname: De Loof
authors.forename: P
authors.initials: P
authors.lastname: Brock
authors.forename: M
authors.initials: M
authors.lastname: Jorissen
authors.forename: L
authors.initials: L
authors.lastname: Dralands
authors.forename: L
authors.initials: L
authors.lastname: Missotten
authors.forename: G
authors.initials: G
authors.lastname: Wilms
mesh_terms: D000208:Acute Disease; D001766:Blindness / Q000209:etiology*; D002648:Child; D005260:Female; D006801:Humans; D009078:Mucocele / Q000150:complications* / Q000000981:diagnostic imaging; D010254:Paranasal Sinus Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed