蝶筛窦黏液囊肿引起的眶尖综合征。

Orbital apex syndrome caused by sphenoethmoid mucocele.

作者信息

Kumagai Masaki, Hashimoto Sho, Suzuki Hideaki, Matsuura Kazuto, Takahashi Etsu

机构信息

Department of Otolaryngology, Sendai National Hospital, 2-8-8 Miyagino, Miyagino-ku, Sendai 983-8520, Japan.

出版信息

Auris Nasus Larynx. 2003 Aug;30(3):295-7. doi: 10.1016/s0385-8146(03)00056-7.

DOI:10.1016/s0385-8146(03)00056-7

PMID:12927296

Abstract

We report a rare case of complete orbital apex syndrome due to sphenoethmoid mucocele. A 61-year-old male presented with a 3-day-history of right-sided sudden proptosis, ophthalmoplegia, and visual loss. Computed tomographic scan and magnetic resonance imaging revealed a cystic mass measuring 25-mm in diameter of the right sphenoethmoid region. At first intravenous antibiotics and corticosteroids had been given but not effective. He underwent endonasal marsupialization using endoscopy. His post-operative course was good. The eye symptoms gradually recovered, and his visual acuity completely recovered 3 months after surgery.

摘要

我们报告一例因蝶筛窦黏液囊肿导致的罕见完全性眶尖综合征病例。一名61岁男性，出现右侧突发眼球突出、眼肌麻痹和视力丧失3天的病史。计算机断层扫描和磁共振成像显示右侧蝶筛区域有一个直径25毫米的囊性肿块。起初给予了静脉抗生素和皮质类固醇治疗，但无效。他接受了鼻内镜下囊肿造袋术。术后恢复良好。眼部症状逐渐恢复，术后3个月视力完全恢复。