Suthersan Shasikala, Periasamy Chenthilnathan, Noh Khairul Bariah, Lee Suk Kam, Husain Salina
Department of Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Department of Otorhinolaryngology, Penang General Hospital, Penang, MYS.
Cureus. 2023 Jun 27;15(6):e41058. doi: 10.7759/cureus.41058. eCollection 2023 Jun.
Sphenoid sinus lesions grasp the attention of Otorhinolaryngologists due to their prime location and vital surrounding structures. Once detected, these lesions require prompt investigation to identify the underlying cause, usually attributed to a tumor, fungal infection, sinusitis, or polyps, thus allowing tailored treatment. We report a case of an elderly lady whose neurological presentation lead to the diagnosis of sphenoid sinus lymphoma. We discuss the diagnostic challenge in view of its interesting presenting symptoms as well as the surgical approach risk and limitations.
蝶窦病变因其重要位置和周围关键结构而备受耳鼻喉科医生关注。一旦发现这些病变，就需要迅速进行检查以确定潜在病因，通常病因包括肿瘤、真菌感染、鼻窦炎或息肉，从而进行针对性治疗。我们报告一例老年女性病例，其神经系统表现导致蝶窦淋巴瘤的诊断。鉴于其有趣的症状表现以及手术方法的风险和局限性，我们讨论了诊断方面的挑战。
