Complicated Onodi cell mucocele presenting with orbital apex syndrome; a case report and literature review
نویسندگان
1 MD. Associate Professor, Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 MD. Assistant Professor, Hearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran MD. Associate Professor, Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 MD. Rhinology Fellowship, Department of Otorhinolaryngology, Head and Neck surgery, Masih Daneshvari Educational Hospital, Tehran, Iran
doi
10.22037/orlfps.v4i1.22388چکیده
Mucocele is defined as the accumulation of mucus within a cystic structure lined by mucoperiosteum causing bone remodeling and erosion. The sphenoidal sinus mucoceles, due to its proximity to the optic nerve, can cause ocular complications. A50-year-old woman with a history of previous endoscopic nasal surgery (30 months ago), blurred vision, severe right-sided orbital pain since three weeks ago and severe unilateral headache was admitted. Mucocele related orbital apex syndrome due to the sphenoid sinus mucocele was diagnosed. The optic nerve was fully dehiscent and under compression. Paranasal sinus pathologies must be taken into consideration when a patient with the diagnosis of optic neuropathy and involvement of the superior orbital fissure is approached.
