Sphenoid Sinus Mucocele Complicated With Spontaneous CSF Rhinorrhea: Case Report.
- Author:
Hun Dea KIM
1
;
Yong Ku CHUNG
;
Hoon Kap LEE
;
Ki Chan LEE
Author Information
1. Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Mucocele;
Sphenoid sinus mucocele;
Etiology;
CSF rhinorrhea;
Transnasal approach
- MeSH:
Brain;
Diagnosis;
Fever;
Frontal Sinus;
Headache;
Mucocele*;
Pituitary Neoplasms;
Sella Turcica;
Skull;
Sphenoid Sinus*;
Tomography, X-Ray Computed
- From:Journal of Korean Neurosurgical Society
1983;12(4):709-714
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mucocele is commonly found in frontal sinus. Mucocele of sphenoid sinus is rare and only 100 cases have been reported since Burg's description in 1889. Their etiology is still conjectural. These lesions are potentially more serious and are often misdiagnosed as pituitary tumor. The author experienced a case of sphenoid sinus mucocele develped headache, fever and CSF rhinorrhea. Plain skull, cisternography brain CT scan help the diagnosis of sphenoid sinus mucocele. A transnasal approach is considered best for case with extensive sphenoid sinus mucocele with bone destruction in the floor of sella turcica. The headache, fever and CSF rhinorrhea improved after surgery.
