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원발성 접형동 점액종에 의한 단독 외향 신경 마비 1예

A Case of Isolated Abducens Nerve Palsy Caused by Primary Sphenoid Sinus Mucocele

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주제분류이비인후과학

초록

Mucoceles of the sphenoid sinus are relatively rare and can lead to visual impairment, diplopia and external ophthalmoplegia. The ophthalmic symptoms seem to be caused mainly by compression or inflammatory changes. It is difficult to diagnose mucocele of the sphenoid sinus just on the basis of patient history or physical examination alone. CT scans and MRI help in the correct assessment of this lesion. We experienced one patient with a sphenoid sinus mucocele who presented simply with diplopia. The mucocele was managed successfully by endoscopic marsupialization. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:781-3

Abstract

Mucoceles of the sphenoid sinus are relatively rare and can lead to visual impairment, diplopia and external ophthalmoplegia. The ophthalmic symptoms seem to be caused mainly by compression or inflammatory changes. It is difficult to diagnose mucocele of the sphenoid sinus just on the basis of patient history or physical examination alone. CT scans and MRI help in the correct assessment of this lesion. We experienced one patient with a sphenoid sinus mucocele who presented simply with diplopia. The mucocele was managed successfully by endoscopic marsupialization. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:781-3

참고문헌 (10)

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  7. Sellars SL, "The sphenoid sinus mucocele", 493~502 (1981)
  8. Muneer A, "Unilateral abducens nerve palsy: a presenting sign of sphenoid sinus mucoceles", J Laryngol Otol, 111(7), pp.644~646 (1997)
  9. Chui MC, "Computed tomography of sphenoid sinus mucocele", J Otolaryngol, 12(4), pp.263~269 (1983)
  10. Kosling S, "Mucoceles of the sphenoid sinus", Eur J Radiol, 51(1), pp.1~5 (2004)

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