A Case of Sphenoidal Sinus Carcinoma Associated with Partial Oculomotor and Abducens Nerve Palsy
Journal of the Korean Ophthalmological Society
; : 1401-1405, 2014.
Article
em Ko
| WPRIM
| ID: wpr-76406
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To report a rare case of a patient with diplopia due to a mass in the sphenoidal sinus, histologically diagnosed as carcinoma. CASE SUMMARY: A 57-year-old male visited our clinic complaining of diplopia and ptosis for 10 days. He had esotropia 45 prism diopters in the primary position, markedly limited abduction, and a 4 mm dilated pupil in the right eye compared with a 2 mm pupil in the left eye. Enhanced magnetic resonance imaging revealed a sphenoidal sinus mass extended into the pituitary gland and sella turcica with homogeneous intense enhancement. Metastatic workups, including CT of the head, neck, chest, and abdomen were unremarkable. He underwent a transsphenoidal approach mass debulking surgery followed by radiotherapy for 6 weeks. Histological findings were compatible with carcinoma. Six weeks after radiotherapy he had esotropia of 20 prism diopters in the primary position. Abduction limitation was partially recovered postoperatively. CONCLUSIONS: Diplopia may develop as a result of multiple cranial nerve palsy due to carcinoma in the sphenoidal sinus and may be improved by debulking surgery and radiation treatment.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Hipófise
/
Radioterapia
/
Sela Túrcica
/
Tórax
/
Imageamento por Ressonância Magnética
/
Pupila
/
Esotropia
/
Doenças dos Nervos Cranianos
/
Doenças do Nervo Abducente
/
Diplopia
Limite:
Humans
/
Male
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2014
Tipo de documento:
Article