title: [Complicated isolated inflammatory sphenoiditis (apropos of 23 cases)].
abstract: Isolated inflammatory sphenoid sinusitis, associated with complications are rare. Authors report 23 cases in 8 years. The left sphenoid is the most often involved, in 50 years or more old females. Neurological complications are the most frequent (75% of the cases): isolated headache, neuro-ophtalmologic paralysis, meningitis, before respiratory complications (20%). A bacteriological etiology was found in 60% of the cases, and a fungal etiology in 25%. The treatment is based on a large endoscopic marsupialization of the sphenoid. Recovery is the rule, except for neuro-ophtalmologic paralysis which recovery is inconstant.
authors.affiliation: C.H.U. Pellegrin, Clinique Universitaire O.R.L., Bordeaux, France.
authors.forename: D
authors.initials: D
authors.lastname: Stoll
authors.forename: T
authors.initials: T
authors.lastname: Dumon
authors.forename: W
authors.initials: W
authors.lastname: Adjibabi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000209:etiology*; D009886:Ophthalmoplegia / Q000209:etiology; D015524:Sphenoid Sinusitis / Q000150:complications* / Q000382:microbiology / Q000503:physiopathology