Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0029089 (ophthalmoplegia)
 3,338 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We report a rare case of complete orbital apex syndrome due to sphenoethmoid mucocele. A 61-year-old male presented with a 3-day-history of right-sided sudden proptosis, ophthalmoplegia, and visual loss. Computed tomographic scan and magnetic resonance imaging revealed a cystic mass measuring 25-mm in diameter of the right sphenoethmoid region. At first intravenous antibiotics and corticosteroids had been given but not effective. He underwent endonasal marsupialization using endoscopy. His post-operative course was good. The eye symptoms gradually recovered, and his visual acuity completely recovered 3 months after surgery.
Auris Nasus Larynx 2003 Aug
PMID:Orbital apex syndrome caused by sphenoethmoid mucocele. 1292 96

A case of sphenoid sinusitis and internal carotid aneurysm presenting with multiple cranial nerve palsy is reported. A 46-year-old man with high fever and neck rigidity developed progressive visual loss and ophthalmoplegia on both sides, and ptosis, mydriasis and facial numbness on the right side. CT scan and MRI revealed abnormal shadow of the sphenoid sinus and the cavernous sinus. Sphenoidectomy and antibiotic therapy improved left visual acuity, but the right visual disturbance remained. Cerebral angiography performed 20 days after the operation, showed an aneurysm of the cavernous portion of the right internal carotid artery. This aneurysm could be called "bacterial aneurysm" due to sphenoid sinusitis and cavernous sinusitis. However, there is another possibility that the enlargement of an idiopathic and asymptomatic intracavernous aneurysm due to rapid and severe parasinusitis induced bilateral cavernous sinus syndrome with the right side dominance. After endovascular coil placement, his right visual disturbance partially recovered.
Auris Nasus Larynx 2005 Dec
PMID:A case of multiple cranial nerve palsy due to sphenoid sinusitis complicated by cerebral aneurysm. 1613 77