Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

01 October 2010

Sphenoid mucopyocele leading to blindness: Time is vision!

Josephine N. Emole, Melissa Ajunwa, Akiode Olutola, Vishal Parekh

Am J Case Rep 2010; 11:179-181 :: ID: 881202


Background: Sphenoid sinus mucoceles are rare. In many cases they are asymptomatic until they become advanced. Due to their proximity to several important neurovascular structures, sphenoid sinus mucoceles can lead to an array of compressive and inflammatory neuro-opthalmologic complications. They have also been described as mimicking pituitary tumors; as such a patient with complications of sphenoid sinuses can present to the primary care doctor, the endocrinologist, the neurologist or the ophthalmologist. Of the numerous clinical manifestations, visual loss is of the most concern as this may be irreversible.
Case Report: A middle aged woman in whom an imaging of the head revealed an incidental sphenoid mucocele presented several months after the initial imaging, with acute and worsening bilateral loss of vision. She had no endocrine abnormalities. She was immediately admitted, treated promptly with antibiotics and steroids, and underwent endoscopic surgery with marsupialization of the sphenoid sinus. Despite a successful and uneventful surgical course, she did not completely recover her vision. Several months after the surgery, her vision still remains impaired.
Conclusions: In a patient presenting with loss of vision, the suspicion of a sphenoid sinus mucocele must be entertained in the differential diagnosis. When the diagnosis of a sphenoid sinus is confirmed, it is imperative that prompt surgical treatment is undertaken as permanent blindness could result from delay in management. Pre-operative visual acuity is the sole determinant of the extent of recovery of vision. If time is wasted before surgical decompression, patients may lose their vision irreversibly.

Keywords: Sphenoid Sinus, pyomucocele, Blindness, pyomucocele



19 May 2022 : Case report  Serbia

Bilateral Emphysematous Pyelonephritis Associated with COVID Pneumonia: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.936370  

17 May 2022 : Case report  USA

High-Frequency Oscillatory Ventilation for Refractory Hypoxemia in Severe COVID-19 Pneumonia: A Small Case ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936651  

13 May 2022 : Case report  Japan

A case of exacerbation of haloperidol-induced rhabdomyolysis following the onset of COVID-19

Am J Case Rep In Press; DOI: 10.12659/AJCR.936589  

13 May 2022 : Case report  USA

Acute Disseminated Encephalomyelitis After SARS-CoV-2 Vaccination

Am J Case Rep In Press; DOI: 10.12659/AJCR.936574  

In Press

24 May 2022 : Case report  USA

Adalimumab Mitigates Lumbar Radiculopathy in a Case of Ankylosing Spondylitis

Am J Case Rep In Press; DOI: 10.12659/AJCR.936600  

23 May 2022 : Case report  Switzerland

Pharmacological and Behavioral Strategies to Improve Vision in Acquired Pendular Nystagmus

Am J Case Rep In Press; DOI: 10.12659/AJCR.935148  

23 May 2022 : Case report  USA

A Case of Methicillin-Sensitive Staphylococcus aureus (MSSA) Prostate Abscess, Osteomyelitis, and Myositis ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936704  

20 May 2022 : Case report  Canada

Diagnostic Puzzle of Acute Ischemic Stroke Mimics – Seizure Versus Post-Stroke Recrudescence: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.936826  

Most Viewed Current Articles

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

17 Feb 2022 : Case report  Oman

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...

DOI :10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

19 Feb 2022 : Case report  USA

A Rare Case of Coronavirus Disease 2019 Vaccine-Associated Cerebral Venous Sinus Thrombosis Treated with Me...

DOI :10.12659/AJCR.935355

Am J Case Rep 2022; 23:e935355

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923