Sphenoidal mucocele with cavernous sinus invasion.
BACKGROUND
Intracranial extension of a sphenoidal mucocele may be marked by persistent headache, nerve palsies, and total or partial vision loss.


METHODS
A 74-year-old white male was examined with right frontotemporal headache and constant diplopia. Previously, he had noticed a droop in his right eyelid.


RESULTS
Careful ophthalmic examination and laboratory studies, including computed tomography revealed a sphenoid mucocele with complications. As a result, the patient underwent a sphenoidectomy.


CONCLUSIONS
The evaluation of patients with acute onset of multiple eye and vision problems can often lead to a significant neurologic diagnosis.
Lantz
N J
NJ
Golis
T A
TA
D000368:Aged; D002426:Cavernous Sinus / Q000473:pathology*; D006801:Humans; D008297:Male; D009078:Mucocele / Q000473:pathology*; D010254:Paranasal Sinus Diseases / Q000473:pathology; D013101:Sphenoid Sinus / Q000473:pathology*