MR features of pachymeningitis presenting with sixth-nerve palsy secondary to sphenoid sinusitis.
Pachymeningitis manifested by localized enhancing dural thickening adjacent to the clivus on MR images of two patients with sphenoid sinusitis and sixth-nerve palsy is presented. This is an unusual complication of sphenoid sinusitis. Prompt diagnosis and therapy may avoid significant intracranial complications.
Nemzek
W
W
Department of Radiology, University of California Davis Medical Center, Sacramento, USA.
Postma
G
G
Poirier
V
V
Hecht
S
S
D000010:Abducens Nerve / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000368:Aged; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008581:Meningitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008582:Meningitis, Aseptic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D009460:Neurologic Examination; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis; D015524:Sphenoid Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology / Q000601:surgery