A Case of Isolated Complete Oculomotor Nerve Palsy Following Endoscopic Sinus Surgery.
- Author:
Nayeon CHOI
1
;
Hyun Jin CHO
;
Kyung Ah PARK
;
Sang Duk HONG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. kkam97@gmail.com
- Publication Type:Case Report
- Keywords:
Endoscopic Sinus Surgery;
Orbital Complication;
Oculomotor Nerve Palsy
- MeSH:
Adult;
Ethmoid Sinus;
Humans;
Male;
Oculomotor Nerve Diseases*;
Optic Nerve;
Orbit;
Paralysis;
Physical Examination
- From:Journal of Rhinology
2014;21(2):134-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
Orbital complications after endoscopic sinus surgery (ESS), such as optic nerve or medial rectus injuries, are well known, but isolated complete oculomotor nerve palsy has never been reported. In this case, a 31-year-old male was transferred to our hospital after ESS. Physical examination showed complete left oculomotor nerve palsy, with a bony defect on the sellar floor, which had not fully recovered after more than 1 year. We hypothesized that blunt trauma could be the main cause of the oculomotor palsy. Surgeons performing ESS must keep in mind the possibility of oculomotor palsy due to blunt trauma, especially when operating around the sphenoid and posterior ethmoid sinus.
