Cavernous sinus syndrome as the only manifestation of sarcoidosis.
We describe a 63-year-old Afro-Caribbean female who presented with complete ophthalmoplegia of the right eye. Magnetic resonance imaging revealed a mass in the cavernous sinus, which was pathologically confirmed as due to sarcoidosis. No clinical or laboratory evidence of sarcoidosis was found in any other organs. We believe this is the first reported case of an isolated cavernous sinus syndrome due to sarcoidosis and suggest that sarcoidosis should be considered in the differential diagnosis of cavernous sinus syndromes even in the absence of systemic involvement of sarcoidosis.
Zarei
M
M
Department of Clinical Neurology, Addenbrooke's Hospital, Cambridge University, Hills Road, UK. mzarei@excite.com
Anderson
J R
JR
Higgins
J N
JN
Manford
M R
MR
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D002426:Cavernous Sinus / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005682:Gadolinium; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000209:etiology; D011856:Radiographic Image Enhancement; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013577:Syndrome; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D005682:Gadolinium