دورية أكاديمية
Sphenoid sinus mucocele causing ptosis with pupil-spared ophthalmoplegia: a hint on carotid artery doppler ultrasound.
| العنوان: | Sphenoid sinus mucocele causing ptosis with pupil-spared ophthalmoplegia: a hint on carotid artery doppler ultrasound. |
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| المؤلفون: | Costa AF; Department of Neurology, Universitary Hospital Reina Sofía, Córdoba, Spain., Martínez A P; Department of Neurology, Universitary Hospital Reina Sofía, Córdoba, Spain., Peláez V N; Department of Neurology, Universitary Hospital Reina Sofía, Córdoba, Spain., Peral Q A; Department of Neurology, Universitary Hospital Reina Sofía, Córdoba, Spain., Estévez JC; Department of Neurology, Universitary Hospital Reina Sofía, Córdoba, Spain. |
| المصدر: | The International journal of neuroscience [Int J Neurosci] 2023 Dec; Vol. 133 (8), pp. 819-821. Date of Electronic Publication: 2021 Oct 18. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 0270707 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1563-5279 (Electronic) Linking ISSN: 00207454 NLM ISO Abbreviation: Int J Neurosci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: New York, Gordon and Breach. |
| مواضيع طبية MeSH: | Mucocele*/complications , Mucocele*/diagnostic imaging , Ophthalmoplegia*/diagnostic imaging , Ophthalmoplegia*/etiology , Blepharoptosis*/pathology , Paranasal Sinus Diseases*/complications , Paranasal Sinus Diseases*/diagnostic imaging, Male ; Humans ; Aged ; Sphenoid Sinus/diagnostic imaging ; Pupil ; Magnetic Resonance Imaging ; Ultrasonography, Doppler/adverse effects ; Carotid Arteries |
| مستخلص: | Objective: Sphenoid sinuses mucocele (SSM) is an uncommon cause of orbital apex syndrome (OAS). Diagnosis of neurological complications in SSM might be delayed when the expansion of mucocele beyond the sinuses is not evident in conventional sinuses imaging. Methods: We present a case of a 76-years old man with spared-pupil ophthalmoplegia associated with ptosis caused by a unilateral left SSM in which internal carotid artery Doppler ultrasound showed distal sub-occlusion waves pattern. Results: Sinus occupation was noted in the magnetic resonance imaging (MRI) and was further evaluated in computed tomography (CT) scan and MR angiography. Nor CT or MR angiography showed clear evidence of neighboring structures compression. Doppler ultrasound of internal carotid showed high-resistance waveforms and decreased wave velocities helping diagnosis. Structures compression was confirmed intra-operatively and the patient was discharged asymptomatic after sphenoid sinus drainage. Conclusion: In this first report of carotid Doppler ultrasound findings in a patient with a neurological presentation of a sphenoid sinus mucocele, a high-resistance waveform of the internal carotid may help differentiate uncomplicated sinusitis from invasive mucocele. |
| فهرسة مساهمة: | Keywords: Doppler ultrasound; Sphenoid sinus mucocele; cranial nerve palsy; magnetic resonance imaging; ophthalmoplegia |
| تواريخ الأحداث: | Date Created: 20211008 Date Completed: 20230706 Latest Revision: 20230706 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1080/00207454.2021.1990915 |
| PMID: | 34623197 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1563-5279 |
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| DOI: | 10.1080/00207454.2021.1990915 |