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Arquivos Internacionais de Otorrinolaringologia 2011; 15(04): 523-525
DOI: 10.1590/S1809-48722011000400018
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Amaurosis secondary to sphenoid mucocele

Amaurose secundária a mucocele esfenoidal
Antonio Antunes Melo
1   Doctor Otorhinolaryngologist - HC-UFPE.
,
Sílvio da Silva Caldas Neto
2   Free Teacher. Professor Assistant of Discipline of Otorhinolaryngology of HC-UFPE.
,
Mariana Carvalho Leal Gouveia
3   Doctor in Otorhinolaryngology by USP. Otorhinolaringologist of Agamenon Magalhães Hospital.
,
Patrícia Ferreira Santos
4   Master in Surgery - UFPE. Otorhinolaringologist of Agamenon Magalhães Hospital.
› Author Affiliations
Further Information

Publication History

21 July 2009

28 April 2011

Publication Date:
12 February 2014 (online)

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Summary

Introduction: The mucocele of the sphenoide sinus its a benign rare lesion. Those lesions are probably diagnosed late because they are asymptomatic or cause non-specific symptoms. The clinical characteristics depend on its location and can include fronto-orbital pain, oculomotor nerve palsy, decrease of visual acuity, exophthalmos and olfaction disorders. The findings of the CT and the MRI of nose and paranasal sinuses have increased the diagnostic accuracy. The treatment consists of marsupialization and drainage of the mucocele via endoscopic sinus. The prognosis for vision depends on the length loss of the visual acuity preoperative.

Objective: Report a case of sphenoid mucocele of big dimensions.

Case Report: The authors report a case of sphenoid sinus mucocele in a male patient of 48 years old, that has suddenly presented amaurosis.

Final Comments: The caracteristics of the sphenoid mucocele are reviewed with special attention for the clinical and radiological findings, as well as the surgical treatment.

Resumo

Introdução: A mucocele do seio esfenoidal é uma lesão rara e benigna. Essas lesões são provavelmente diagnosticadas tardiamente por serem assintomáticas ou causarem sintomas não específicos. As características clínicas dependem de sua localização e podem incluir dor fronto-orbitária, paralisia do nervo oculomotor, diminuição da acuidade visual, exoftalmia e anosmia. Os achados da tomografia computadorizada (TC) e ressonância nuclear magnética (RNM) de nariz e seios paranasais aumentaram a precisão do diagnóstico. O tratamento consiste na marsupialização e drenagem da mucocele por via endoscópica nasossinusal. O prognóstico em relação à visão depende da duração da perda da acuidade visual pré-operatória.

Objetivo: Relatar um caso de mucocele esfenoidal de grandes dimensões.

Relato de Caso: Os autores relatam um caso de mucocele do seio esfenoidal em um paciente masculino de 48 anos de idade que apresentou amaurose subitamente.

Comentários Finais: As características da mucocele esfenoidal são revistas com especial atenção para os seus achados clínicos e radiológicos, bem como o tratamento cirúrgico.

Keywords

mucocele - sphenoid sinus - visual acuity

Palavras-chave

mucocele - seio esfenoidal - acuidade visual
 

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