ABSTRACT
Mucocele, usually associated to paranasal sinuses is defined as an abnormal accumulation and retention of mucous secretions. It usually presents with intraorbital or paranasal and rarely with pure neurological symptoms. We report a 41 years old male who presented with a history of supraorbital left headache, diplopia and proptosis. CT scans and magnetic resonance imaging showed an expansive mass in the right frontal sinus. The patient was operated, the presumptive preoperative clinical diagnosis of mucocele was confirmed and the lesion was drained. A postoperative CT scan confirmed the normal expansion of the frontal lobe
Subject(s)
Humans , Male , Adult , Mucocele/diagnosis , Paranasal Sinuses/pathology , Exophthalmos/etiology , Headache/etiology , Diagnosis, DifferentialABSTRACT
La risa es un fenómeno neurológico que pocas veces es explorado en forma habitual dentro del examen clínico. Cuando es patológico, revela un trastorno psicológico importante. Se presentan tres pacientes con risa histérica de carácter paroxístico y se hace el diagnóstico diferencial con la risa loca. Se analiza el valor representativo que tendría en la histeria de conversión, sería un acto motor, que revelaría inmadurez emocional y que busca procedimientos primitivos para hacerse valer