Sphenoid sinus mucocele with recurrent visual disturbance.
We present a case of sphenoid sinus mucocele with recurrent visual disturbance on the same side. A 22-year-old female showed two episodes of visual disturbance in the left eye for 3 months, and acute retrobulbar optic neuritis was diagnosed. With corticosteroid, visual disturbance improved in 1 week. MRI and CT scans showed mucocele in the left sphenoid sinus, and left optic nerve swelling with high intensity was observed in T2-weighted MRI. No destruction of the optic canal was found. The contiguous inflammation in the optic nerve rather than compression was considered as pathogenesis.
Yasuda
Y
Y
Department of Neurology, Otsu Red Cross Hospital, Japan.
Morita
T
T
Akiguchi
I
I
Kimura
J
J
Kameyama
M
M
D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D009078:Mucocele / Q000150:complications* / Q000601:surgery; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery; D009902:Optic Neuritis / Q000209:etiology* / Q000601:surgery; D011239:Prednisolone / Q000008:administration & dosage; D013101:Sphenoid Sinus / Q000601:surgery; D014057:Tomography, X-Ray Computed; D015354:Vision, Low / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity / Q000187:drug effects / Q000502:physiology
D011239:Prednisolone