Unilateral isolated sphenoid sinusitis with contralateral abducens nerve palsy - A rare complication treated in a low-resource setting
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Unilateral isolated sphenoid sinusitis with contralateral abducens nerve palsy - A rare complication treated in a low-resource setting
BACKGROUND Unilateral isolated sphenoid sinus disease (ISSD) is a rare diagnosis of the paranasal sinuses that can be associated with complications involving vascular, neurologic, and optic structures in close proximity. CASE PRESENTATION A 62 year old female presented to a hospital in Georgetown, Guyana with right lateral rectus palsy, diplopia, and a severe progressively worsening headache....
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Background: Fungal sinusitis of isolated sphenoid sinus is a rare entity. Most of the sufferers referred with complications since the primary manifestations are non-characteristic. Case presentation: We describe a 40-year old woman presenting with severe headache, diplopia, and limited right-eye movement. Further studies proposed isolated sphenoidal sinusitis, for which she underwent endoscopic...
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conclusion prompt diagnosis and treatment of isolated sphenoidal sinusitis is of utmost importance since it has noncharacteristic manifestations. noninvasive fungal sphenoidal sinusitis is best treated with sphenoidotomy. it seemed that abducens nerve palsy was associated with total sinus obstruction since patient condition improved promptly following the sphenoidotomy. background fungal sinusi...
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hematological investigations were all within normal limits. Magnetic resonance (MR) imaging and MR angiography of the brain and orbit demonstrated compression of the right abducens nerve superiorly and laterally by dolichoectatic left VA. No other abnormal signals were seen in brainstem [Figure 1]. Owing to the fact that the right abducens nerve palsy was mild and the patient showed no diplopia...
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ژورنال
عنوان ژورنال: Journal of Otolaryngology - Head & Neck Surgery
سال: 2015
ISSN: 1916-0216
DOI: 10.1186/s40463-015-0053-y