Alternating orbital symptoms in cavernous sinus syndrome due to isolated sphenoid sinusitis

Year 2010, Volume: 20 Issue: 3, 142 - 145, 30.06.2010

Jose Florencio F. Lapeña Dorris V. Velasco

Abstract

A 40-year-old male with left-sided headaches, ptosis, proptosis and extra-ocular muscle paralysis developed right-sided headaches, proptosis, chemosis, diplopia, extra-ocular muscle paralysis and trigeminal sensory loss. An enhancing left orbital, intrasellar and parasellar cavernous nodule on magnetic resonance imaging progressed into a right cavernous sinus and orbital apex soft tissue mass. Cavernous sinus syndrome from sphenoid sinusitis resolved after endoscopic transnasal sphenoidotomy. This diagnostic complexity and its treatment options are discussed according to current literature.

Keywords

Cavernous sinus syndrome, diagnostic complexity, endoscopic transnasal sphenoidotomy, isolated sphenoid sinusitis

İzole sfenoid sinüzite bağlı kavernöz sinüs sendromundaki değişken orbital semptomlar

Abstract

Kırk yaşında erkek hasta, uzun süredir var olan sol tarafta başağrısı, pitozis, propitozis ve ekstraokü- ler kas paralizisi ve sonradan gelişen sağ tarafta başağrısı, propitozis, kemozis, diplopi, ekstraoküler kas paralizisi ve trigeminal duyu kaybı nedeniyle başvurdu. Manyetik rezonans görüntülemede sol orbital, intrasellar ve parasellar alana doğru genişle- yen kavernöz nodül ve sağ kavernöz sinüs ve orbital apekse doğru ilerleyen yumuşak doku kitlesi saptan- dı. Sfenoid sinüzite bağlı kavernöz sinüs sendromu endoskopik transnazal sfenoidotomi sonrası iyileşti. Bu tanısal karmaşa ve tedavi seçenekleri güncel literatür eşliğinde sunuldu

Keywords

Kavernöz sinüs sendromu, tanısal karmaşa, endoskopik transnazal sfenoidotomi, izole sfenonid sinüzit

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