Mohebbi Alireza, Jahandideh Hesam, Harandi Ali Amini
Department of Otolaryngology-Head and Neck Surgery, Hazrat-e-Rasool Akram Hospital, Niyayesh, Sattarkhan St., Tehran, Iran 1445613131.
Ear Nose Throat J. 2013 Dec;92(12):563-5.
A 37-year-old woman presented with isolated right-sided oculomotor nerve palsy. Neurologic examination revealed no other disorder. Computed tomography of the paranasal sinuses demonstrated complete opacification of the sphenoid sinus. Dense mucoid fluid was drained from the sphenoid sinus via an endoscopic transseptal sphenoidotomy. A biopsy confirmed the diagnosis of sphenoid sinus mucocele. At follow-up 4 weeks postoperatively, the patient's ocular symptoms were markedly alleviated. Considering rare causes of isolated oculomotor nerve palsy, such as sphenoid sinus mucocele, is important in the differential diagnosis, even in patients with well-known risk factors such as diabetes mellitus.
一名37岁女性出现孤立性右侧动眼神经麻痹。神经系统检查未发现其他疾病。鼻窦计算机断层扫描显示蝶窦完全闭塞。通过内镜经鼻中隔蝶窦切开术从蝶窦中引流出色稠的黏液性液体。活检确诊为蝶窦黏液囊肿。术后4周随访时，患者的眼部症状明显缓解。即使在患有糖尿病等已知危险因素的患者中，考虑孤立性动眼神经麻痹的罕见病因，如蝶窦黏液囊肿，在鉴别诊断中也很重要。
