A Case of Sphenoidal Sinus Carcinoma Associated with Partial Oculomotor and Abducens Nerve Palsy.
10.3341/jkos.2014.55.9.1401
- Author:
Nam Eok KIM
1
;
Soo Jin KIM
Author Information
1. Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. pearlsj@hanmail.net
- Publication Type:Case Report
- Keywords:
Debulking surgery;
Limitation of abduction;
Sphenoidal sinus carcinoma
- MeSH:
Abdomen;
Abducens Nerve Diseases*;
Cranial Nerve Diseases;
Diplopia;
Esotropia;
Head;
Humans;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Neck;
Pituitary Gland;
Pupil;
Radiotherapy;
Sella Turcica;
Thorax
- From:Journal of the Korean Ophthalmological Society
2014;55(9):1401-1405
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a rare case of a patient with diplopia due to a mass in the sphenoidal sinus, histologically diagnosed as carcinoma. CASE SUMMARY: A 57-year-old male visited our clinic complaining of diplopia and ptosis for 10 days. He had esotropia 45 prism diopters in the primary position, markedly limited abduction, and a 4 mm dilated pupil in the right eye compared with a 2 mm pupil in the left eye. Enhanced magnetic resonance imaging revealed a sphenoidal sinus mass extended into the pituitary gland and sella turcica with homogeneous intense enhancement. Metastatic workups, including CT of the head, neck, chest, and abdomen were unremarkable. He underwent a transsphenoidal approach mass debulking surgery followed by radiotherapy for 6 weeks. Histological findings were compatible with carcinoma. Six weeks after radiotherapy he had esotropia of 20 prism diopters in the primary position. Abduction limitation was partially recovered postoperatively. CONCLUSIONS: Diplopia may develop as a result of multiple cranial nerve palsy due to carcinoma in the sphenoidal sinus and may be improved by debulking surgery and radiation treatment.
