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...

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...

Sphenoid sinusitis is an uncommon infection that accounts for approximately 3% of all cases of acute sinusitis. It is usually accompanied by pansinusitis; less commonly it occurs alone. We are presenting a case of a 30 year old young male patient who presented with three weeks history of headache, along with blurry vision and diplopia. Neurological examination showed evidence of bilateral sixth...

A case of orbital cellulitis complicating the rare isolated unilateral sphenoidal sinusitis is reported, stressing the importance of a CT scan where plain x-rays fail to show any abnormality.

In our previous issue the method of diagnosing the existence of infective sphenoidal sinusitis by means of the exploratory suction syringe was described, affording as it does the only criterion of the presence of the affection short of actual inspection of the discharge escaping from the sphenoidal sinus ostium, a very rare event compared with the relative frequency of the disease. Further, the...