Orbital apex syndrome caused by sphenoethmoid mucocele.
We report a rare case of complete orbital apex syndrome due to sphenoethmoid mucocele. A 61-year-old male presented with a 3-day-history of right-sided sudden proptosis, ophthalmoplegia, and visual loss. Computed tomographic scan and magnetic resonance imaging revealed a cystic mass measuring 25-mm in diameter of the right sphenoethmoid region. At first intravenous antibiotics and corticosteroids had been given but not effective. He underwent endonasal marsupialization using endoscopy. His post-operative course was good. The eye symptoms gradually recovered, and his visual acuity completely recovered 3 months after surgery.
Kumagai
Masaki
M
Department of Otolaryngology, Sendai National Hospital, 2-8-8 Miyagino, Miyagino-ku, Sendai 983-8520, Japan.
Hashimoto
Sho
S
Suzuki
Hideaki
H
Matsuura
Kazuto
K
Takahashi
Etsu
E
D005005:Ethmoid Sinus / Q000601:surgery; D005094:Exophthalmos / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*; D009886:Ophthalmoplegia / Q000209:etiology; D009900:Optic Nerve / Q000503:physiopathology*; D009916:Orbital Diseases / Q000209:etiology* / Q000503:physiopathology; D013101:Sphenoid Sinus / Q000601:surgery; D013577:Syndrome; D014057:Tomography, X-Ray Computed