Barat J L, Marchal J C, Bracard S, Auque J, Lepoire J
Service de Neurochirurgie, Hôpital Saint-Julien, Nancy.
J Neuroradiol. 1990;17(2):135-51.
Six personal cases of mucocele of the sphenoidal sinus are reported, and 124 cases from the literature are reviewed. Sphenoidal sinus mucocele is a benign and rare lesion which has long been unrecognized. Clinical features include fronto-orbital pain, oculomotor palsies, loss of visual acuity, exophthalmos and anosmia. Our series is of particular interest since four of our six patients presented with endocrine disorders. Recent advances in neuroradiological methods should rapidly lead to the correct diagnosis. Treatment consists of aspiration and drainage of the mucocele via a trans-sphenoidal approach. The results are good, and ophthalmoplegia usually subsides. In our experience, endocrine disorders do not always respond to treatment. The prognosis of sphenoidal sinus mucocele depends on the preoperative duration of the loss of visual acuity.
报告了6例蝶窦黏液囊肿的个人病例，并对文献中的124例病例进行了回顾。蝶窦黏液囊肿是一种长期未被认识的良性罕见病变。临床特征包括额眶部疼痛、动眼神经麻痹、视力丧失、眼球突出和嗅觉丧失。我们的系列病例特别令人关注，因为我们的6例患者中有4例出现了内分泌紊乱。神经放射学方法的最新进展应能迅速做出正确诊断。治疗包括通过经蝶窦入路对黏液囊肿进行抽吸和引流。效果良好，眼肌麻痹通常会消退。根据我们的经验，内分泌紊乱并不总是对治疗有反应。蝶窦黏液囊肿的预后取决于术前视力丧失的持续时间。
