Symptomatic epilepsy due to a huge frontal sinus mucocele. A case report.
We report the case of a 57-year-old man complaining of headaches and adult onset seizures. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a process which proved to be a huge frontal sinus mucocele, eroding the posterior wall of the frontal sinus and compressing the left frontal lobe. An osteoplastic flap procedure with cranialization and obliteration of the frontal sinus was performed. The seizures and headache disappeared postoperatively. Clinical manifestations, diagnosis and surgical approaches for grand frontal sinus mucoceles are briefly discussed.
Lachanas
Vassilios A
VA
Department of Otorhinolaryngology, University of Crete, School of Medicine, Heraklion, Crete, Greece.
Kyrmizakis
Dionysios E
DE
Chimona
Theognosia S
TS
Karatzanis
Alexandros D
AD
Spilioti
Martha G
MG
Velegrakis
George A
GA
D004827:Epilepsy / Q000175:diagnosis / Q000209:etiology*; D005626:Frontal Sinus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D011859:Radiography; D012720:Severity of Illness Index