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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Mucoceles of the sphenoid sinuses are uncommon; 60 cases have been reported in the world literature to date. Signs and symptoms are caused by local expansion of the mucocele and include headache (the most common symptom), ocular field deficits, external ophthalmoplegia (particularly the sixth cranial nerve), and proptosis. Radiologic correlation in the form of plain films and polytomorgraphy is the most reliable guide in the diagnosis of sphenoid sinus disease. Therapy of these lesions is surgical, and drainage can be achieved via the external ethmoid or sublabial transseptal route. Three cases are presented: two had classical findings and the third was conspicuous by the presence of aseptic meningitis in the absence of local findings.
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PMID:Mucoceles of the sphenoid sinus. 50 84

A mucocele of the sphenoid sinus with visual impairment and headache is presented. Mucocele of the sphenoid sinus is relatively rare. The preoperative diagnosis was uncertain in this case but sphenoid sinus mucocele was considered. The transnasal surgical approach is considered to be best for treatment.
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PMID:Mucocele of the sphenoid sinus with the apex orbitae syndrome. 394 62

Mucoceles of the sphenoidal and ethmoidal sinuses act as benign neoplasms and can result in bony erosion extending from within the confines of the sinuses into the intracranial and orbital spaces. Endoscopic management of such mucoceles has been debated, and, by some, considered a radical form of therapy. A review of consecutive patients with sinus mucoceles revealed eight sphenoid and six ethmoid mucoceles. Four of these were confined to the sinuses and 11 extended outside of the confines of the sinuses. There were four with intracranial extension, two with orbital extension, three with both intracranial and orbital extension, and two involving the clivus. All 15 patients were managed with endoscopic decompression. Two patients with ethmoid-frontal mucoceles also had frontal sinus obliteration, via an osteoplastic flap along with sphenoethmoidal decompression with an endoscopic approach. Thirteen patients had more than one year of follow-up. Two patients with ethmoid mucoceles with intracranial extension had recurrences of the mucoceles which again have been decompressed endoscopically. There were no orbital or intracranial complications in relationship to these procedures or from the mucoceles. Symptoms related to the mucoceles including loss of vision and severe headaches were resolved with decompression. The endoscopic management of sphenoid and ethmoid mucoceles with orbital and intracranial extension is a safe and reliable approach, obviates the need for major intracranial surgery and diminishes post-operative morbidity. Close follow-up is necessary and secondary decompression can be accomplished should the mucocele recur.
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PMID:The endoscopic management of sphenoid and ethmoid mucoceles with orbital and intranasal extension. 856 Jan 69

Mucocele, usually associated to paranasal sinuses is defined as an abnormal accumulation and retention of mucous secretions. It usually presents with intraorbital or paranasal and rarely with pure neurological symptoms. We report a 41 years old male who presented with a history of supraorbital left headache, diplopia and proptosis. CT scans and magnetic resonance imaging showed an expansive mass in the right frontal sinus. The patient was operated, the presumptive preoperative clinical diagnosis of mucocele was confirmed and the lesion was drained. A postoperative CT scan confirmed the normal expansion of the frontal lobe.
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PMID:[Intracranial mucocele. Report of a case]. 1096 75

Mucoceles are uncommon and the majority of cases occur in the frontoethmoidal complex. The accumulation of mucous secretion and eventual secondary infection may result in the formation of a pyocele of the middle turbinate, which is exceptionally rare. This case report presents a patient with a large pyocele of the middle turbinate invading the orbit. A 48-year-old woman presented with a three-week history of nasal obstruction, slight rhinorrhea, and headache. There was an external swelling of the nasal pyramid just near the medial canthus and right exophthalmos with bulging of the medial canthus of the ipsilateral eye. A computed tomography scan revealed a rounded, expansive lesion of soft tissue density. There was a thin compact bone at the margin. Under general anesthesia, resection of the lateral and inferior walls of the middle turbinate was performed. The large cystic mass was filled with pus. Exophthalmos and bulging of the medial canthus immediately disappeared. Histologic examination showed the mucocele wall with a ciliary respiratory epithelium.
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PMID:Pyocele of the middle turbinate: a case report. 1601 95

Mucoceles of the sphenoidal sinus represent less than 2% of paranasal sinus mucoceles. The purpose of this paper is to report our experience in patients with mucoceles of the sphenoidal sinus. Four patients with this localization were observed in our department from 1994 to 2005. Symptoms included headache, visual loss, and rhinorrhea. All patients underwent computed tomography (CT) and magnetic resonance imaging (MRI). Surgery was performed using an endonasal endoscopic procedure, in one case a navigational system was used. In light of these observations and a review of literature, the etiopathogenic characteristics, clinical aspects, and therapeutic indications of this localization are discussed.
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PMID:Mucoceles of the sphenoidal sinus: a report of four cases and review of the literature. 1642 50

Mucoceles of the paranasal sinuses are extremely rare in children and adolescents and most cases described in the literature are associated with cystic fibrosis. The condition is potentially dangerous but frequently diagnosed late or inaccurately due to its non-specific symptoms or to an absence of inflammation parameters or other clinical signs. We present 3 children with mucoceles (sphenoid sinus n = 2, ethmoid sinus n = 1) in whom cystic fibrosis was discounted and who were managed in our medical centre during the last 3 years. No aetiological factor was identified in the 2 cases of sphenoid mucocele. The main symptom in these two patients was therapy-resistant cephalgia which shifted location and varied in intensity. One child had had recurrent sinus infection which was a possible aetiological factor of the ethmoidal mucocele. All patients successfully underwent endoscopic sinus surgery. During a 2-year follow-up, all patients have remained free of symptoms and no mucocele recurrence has been observed so far. The rareness of paranasal sinus mucoceles in children, in particular its sphenoid occurrence, coupled with its relatively non-specific symptomatology prompted the authors to outline and discuss the aetiological factors, clinical findings, and therapy and to review the literature.
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PMID:Paediatric paranasal sinus mucoceles. 1690 59

This is a case of an 11-year-old male with an ethmoid sinus mucocele who presented to our emergency department with an orbital mass. This mucocele was most likely related to an ipsilateral orbital subperiosteal abscess that required endoscopic drainage 9 years ago. Mucoceles are mucus-filled, epithelial-lined sacs that slowly develop in the paranasal sinuses when sinus drainage is obstructed by inflammatory processes, trauma, or prior surgery. They are rare in children and should be suspected in patients with progressive headache or orbital complaints.
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PMID:Ethmoid mucocele presenting as an orbital mass. 1909 64

Paranasal sinus fungus ball is within the non-invasive forms and is characterized by the presence of aggregated hyphae that do not invade the sinus mucosa. Mucoceles are benign, expansile, cyst-like lesions of the paranasal sinuses. The mucoid secretions of mucoceles are usually sterile. However, secondary infections, mostly bacterial, may lead to the development of pyocoeles. Although an association between a fungus ball and a mucocele is rare in the paranasal sinuses, this disease entity should be considered in the differential diagnosis of expansile, cystic sinus lesions. In this article, clinical and radiological findings of a 61-year-old male patient with isolated sphenoid sinus fungus ball within a mucocele presented with headache and periorbital pain were discussed with recent literature.
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PMID:Radiological aspect of fungus ball within a mucocele of the sphenoid sinus. 2461 82

Mucoceles are mucus-containing cysts lined by epithelium. Although benign, they may show expansive growth and remain undiagnosed until symptoms due to compression of surrounding structures arise. We report a rare case of frontoethmoid mucocele with intracranial extension in an 80-year-old woman with complaints of headache, right diplopia and proptosis. A right frontoorbital craniotomy was performed, and a mucocele in the frontal sinus extending into the frontal lobe and orbit was totally removed. The patient was successfully treated without any complication. The two-year follow-up results were satisfactory. Magnetic resonance imaging excluded any recurrence of the mucocele. Combined intranasal and transcranial approach is necessary to treat giant frontoetmoid mucoceles with intracranial extension.
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PMID:A giant frontoethmoid mucocele with intracranial extension. 2542 41


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