Spontaneous sphenoid sinus mucocele revealed by meningitis and brain abscess in a 12-year-old child.
Sphenoid sinus mucocele is an uncommon lesion related to inflammatory disease that is diagnosed after surgery or a traumatic event. This report describes an unusual case revealed by bacterial meningitis and cerebral abscess in a 12-year-old child. CT and MR imaging allowed precise extension to the skull base in preoperative management and follow-up investigations. Endoscopic transnasal marsupialisation of the mucocele and antibiotic therapy led to complete remission. There was no evidence of recurrence after 6 months, which suggests that sphenoid mucoceles, regardless of size and complications, can be treated by endoscopic sinus surgery.
Malard
Olivier
O
Service de clinique O.R.L. et de chirurgie cervico-faciale, CHU de Nantes, France.
Gayet-Delacroix
Marie
M
Jegoux
Franck
F
Faure
Alexis
A
Bordure
Philippe
P
Beauvillain de Montreuil
Claude
C
D001922:Brain Abscess / Q000150:complications*; D002648:Child; D006801:Humans; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications*; D009078:Mucocele / Q000150:complications* / Q000175:diagnosis; D010254:Paranasal Sinus Diseases / Q000150:complications / Q000175:diagnosis; D013101:Sphenoid Sinus