el-Fiki M E, Abdel-Fattah H M, el-Deeb A K
Department of Neurosurgery, University of Alexandria, Egypt.
Surg Neurol. 1993 Feb;39(2):115-9. doi: 10.1016/0090-3019(93)90088-i.
Sphenoid sinus mucoceles are rare lesions. Those with intracranial extension were thought to be extremely rare in Western literature. We encountered three such cases within 1 year. These cases were confirmed on pathological examination to be pyoceles of the sphenoid sinus, extending to the sella and suprasellar region. Bilateral exophthalmos, papilledema, and severe headache were among the most consistent findings encountered. It appears that these lesions might be more common in areas of poor socioeconomic status like Third World countries. This condition should be considered in the differential diagnosis of lesions of the sella extending to the suprasellar region.
蝶窦黏液囊肿是罕见病变。在西方文献中，伴有颅内扩展的蝶窦黏液囊肿被认为极为罕见。我们在1年内遇到了3例此类病例。经病理检查证实，这些病例为蝶窦脓性囊肿，已扩展至蝶鞍和鞍上区域。双侧眼球突出、视乳头水肿和严重头痛是最常见的症状。在社会经济状况较差的地区，如第三世界国家，这类病变可能更为常见。在鉴别诊断延伸至鞍上区域的蝶鞍病变时，应考虑到这种情况。
