Painful ophthalmoplegia secondary to a mucocele involving the sella turcica, superior orbital fissure, and sphenoid sinus.
A case of painful ophthalmoplegia associated with an extensive lesion involving the sella turcica, superior orbital fissure, and sphenoid sinus in a 57-year-old man is reported. Even though nasal and ocular symptoms and signs represent the usual features of sphenoidal mucoceles, extension to the intracranial cavity as seen in this lesion is rare. Surgical exploration via a sublabial, transseptal approach revealed a mucocele of the sphenoid sinus. This case exhibited extensive and aggressive behavior simulating a malignant neoplasm.
Clarke
H
H
Queen Elizabeth Hosptial, Bridgetown, Barbados, West Indies.
Clarke
V
V
Gill
J
J
St John
A
A
Lashley
M
M
D001847:Bone Diseases / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000150:complications*; D009886:Ophthalmoplegia / Q000000981:diagnostic imaging / Q000209:etiology*; D010254:Paranasal Sinus Diseases / Q000150:complications; D012658:Sella Turcica / Q000000981:diagnostic imaging*; D013100:Sphenoid Bone / Q000000981:diagnostic imaging*; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed