Title:
Sphenoid sinus pyocele with intracranial extension managed under endoscopic guidance: a report of an extremely rare case
Authors:
P. Strek, O. Zagólski, J. Skadzie and K. Ole
Institutions:
Department of Otorhinolaryngology, Collegium Medicum, Jagiellonian University, Kraków, Poland
Keywords:
Sphenoid sinusitis; mucocele; otorhinolaryngological surgical procedures
Pages:
149 - 151
Abstract:
Sphenoid sinus pyocele with intracranial extension managed under endoscopic guidance: a report of an extremely rare case. Objectives: Sphenoid pyoceles with intracranial extension are extremely rare lesions that can mimic tumours and usual- ly cause ophthalmological symptoms. Their infectious nature mandates urgent surgical decompression since pyoceles can cause intracranial and orbital complications. Case report: A 16-year-old male presented with intense headache and dizziness lasting three days. On admission, the patient gave a five-year history of chronic rhinitis, nasal congestion, and progressively worsening headaches. Ophthalmological examination was normal. CT and MR scans disclosed distension of the sphenoid sinus by a pyocele 55 mm in diameter, extending to the presellar region through the eroded cribriform plate. The patient underwent an endo- scopic transnasal sphenoethmoidectomy.After surgery he reported improvement in all preoperative symptoms and was asymptomatic at 3-months follow-up. Conclusions: A huge sphenoid sinus pyocele with intracranial extension may cause no ophthalmological symptoms. It can be safely managed using endoscopic techniques.
Issue:
Vol. 3, 2007, 3rd trimester


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Sphenoid sinus pyocele with intracranial extension managed under endoscopic guidance: a report of an extremely rare case