[Complicated isolated inflammatory sphenoiditis (apropos of 23 cases)].
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.
Stoll
D
D
C.H.U. Pellegrin, Clinique Universitaire O.R.L., Bordeaux, France.
Dumon
T
T
Adjibabi
W
W
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