Ocular cranial nerve palsies secondary to sphenoid sinusitis

Objective: The clinical presentation of sphenoid sinusitis can be highly variable. Rarely, sphenoid sinusitis may present with cranial nerve complications due to the proximity of these structures to the sphenoid sinus. Method: A case series from Rabin Medical Center and all cases of cranial nerves p...

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Autores principales:	Aiman El Mograbi, Ethan Soudry
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7a0a0c60eef84551a170e35f49735ae0
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spelling	oai:doaj.org-article:7a0a0c60eef84551a170e35f49735ae02021-12-02T17:30:51ZOcular cranial nerve palsies secondary to sphenoid sinusitis2095-881110.1016/j.wjorl.2017.02.001https://doaj.org/article/7a0a0c60eef84551a170e35f49735ae02017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117300100https://doaj.org/toc/2095-8811Objective: The clinical presentation of sphenoid sinusitis can be highly variable. Rarely, sphenoid sinusitis may present with cranial nerve complications due to the proximity of these structures to the sphenoid sinus. Method: A case series from Rabin Medical Center and all cases of cranial nerves palsies secondary to sphenoid sinusitis that have been reported in the literature were reviewed. Results: Seventeen patients were identified. The abducent nerve was the most common cranial nerve affected (76%), followed by the oculomotor nerve (18%). One patient had combined oculomotor, trochlear and abducent palsies. The most common pathology was isolated purulent sphenoid sinusitis in 64% followed by allergic fungal sinusitis (AFS) in 18%, and fungal infection in 18%. 94% had an acute presentation. The majority (85%) received a combined intravenous antibiotics and surgical treatment. The remainder received conservative treatment alone. Complete recovery of cranial nerve palsy was noted in 82% during follow up. Conclusion: Sphenoid sinusitis presenting as diplopia and headaches is rare. A neoplastic process must be ruled out and early surgical intervention with intravenous antimicrobial therapy carry an excellent outcome with complete resolution of symptoms. Keywords: Sphenoid, Sinusitis, Sphenoiditis, Ocular, Cranial nerve, PalsyAiman El MograbiEthan SoudryKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 1, Pp 49-53 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Aiman El Mograbi Ethan Soudry Ocular cranial nerve palsies secondary to sphenoid sinusitis
description	Objective: The clinical presentation of sphenoid sinusitis can be highly variable. Rarely, sphenoid sinusitis may present with cranial nerve complications due to the proximity of these structures to the sphenoid sinus. Method: A case series from Rabin Medical Center and all cases of cranial nerves palsies secondary to sphenoid sinusitis that have been reported in the literature were reviewed. Results: Seventeen patients were identified. The abducent nerve was the most common cranial nerve affected (76%), followed by the oculomotor nerve (18%). One patient had combined oculomotor, trochlear and abducent palsies. The most common pathology was isolated purulent sphenoid sinusitis in 64% followed by allergic fungal sinusitis (AFS) in 18%, and fungal infection in 18%. 94% had an acute presentation. The majority (85%) received a combined intravenous antibiotics and surgical treatment. The remainder received conservative treatment alone. Complete recovery of cranial nerve palsy was noted in 82% during follow up. Conclusion: Sphenoid sinusitis presenting as diplopia and headaches is rare. A neoplastic process must be ruled out and early surgical intervention with intravenous antimicrobial therapy carry an excellent outcome with complete resolution of symptoms. Keywords: Sphenoid, Sinusitis, Sphenoiditis, Ocular, Cranial nerve, Palsy
format	article
author	Aiman El Mograbi Ethan Soudry
author_facet	Aiman El Mograbi Ethan Soudry
author_sort	Aiman El Mograbi
title	Ocular cranial nerve palsies secondary to sphenoid sinusitis
title_short	Ocular cranial nerve palsies secondary to sphenoid sinusitis
title_full	Ocular cranial nerve palsies secondary to sphenoid sinusitis
title_fullStr	Ocular cranial nerve palsies secondary to sphenoid sinusitis
title_full_unstemmed	Ocular cranial nerve palsies secondary to sphenoid sinusitis
title_sort	ocular cranial nerve palsies secondary to sphenoid sinusitis
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/7a0a0c60eef84551a170e35f49735ae0
work_keys_str_mv	AT aimanelmograbi ocularcranialnervepalsiessecondarytosphenoidsinusitis AT ethansoudry ocularcranialnervepalsiessecondarytosphenoidsinusitis
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Ocular cranial nerve palsies secondary to sphenoid sinusitis

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