Isolated Oculomotor Nerve Palsy Caused by Onodi Cell Sinusitis
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초록
Onodi cell sinusitis is a rare cause of isolated oculomotor nerve palsy. The sphenoid sinus andOnodi cell mucocele or invasive fungal sinusitis are often associated with multiple cranial-nerve symptoms simultaneously. However, isolated cranial nerve palsy due to simple sinusitisis rare. Sinus disease associated with cranial nerve palsy is difficult to diagnose based on pa-tient history or physical examination alone; CT and MRI help in correctly assessing these le-sions. Here we report a case of Onodi cell sinusitis observed in a patient who presented withisolated oculomotor nerve palsy. The patient underwent endoscopic sinus surgery and recov-ered completely at 2 months postoperative.
Abstract
Onodi cell sinusitis is a rare cause of isolated oculomotor nerve palsy. The sphenoid sinus andOnodi cell mucocele or invasive fungal sinusitis are often associated with multiple cranial-nerve symptoms simultaneously. However, isolated cranial nerve palsy due to simple sinusitisis rare. Sinus disease associated with cranial nerve palsy is difficult to diagnose based on pa-tient history or physical examination alone; CT and MRI help in correctly assessing these le-sions. Here we report a case of Onodi cell sinusitis observed in a patient who presented withisolated oculomotor nerve palsy. The patient underwent endoscopic sinus surgery and recov-ered completely at 2 months postoperative.
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