Cranial nerve VI palsy in chronic sphenoid sinusitis.
Publication/Presentation Date
8-24-2023
Abstract
Sphenoid sinusitis is a rare disease associated with life-threatening complications that can be avoided with early recognition and timely treatment. Here, we present a case of a woman in her 80s admitted for symptomatic anaemia likely secondary to a gastrointestinal bleed with left cranial nerve (CN) VI palsy incidentally discovered on physical examination. CT and MRI were suggestive of chronic left sphenoid sinusitis with possible involvement of the left cavernous sinus. Surgical treatment was deferred due to high cardiac risk for perioperative mortality and recent ischaemic stroke. Despite antibiotic treatment, the patient's CN VI palsy remained unchanged. This report contributes to the current understanding of sphenoid sinusitis by presenting a complex case of chronic sphenoid sinusitis in which urgent surgical intervention was deferred due to the patient's multiple comorbidities. Furthermore, it highlighted the importance of the CN examination and imaging modalities in diagnosing sphenoid sinusitis.
Volume
16
Issue
8
ISSN
1757-790X
Published In/Presented At
Wang, R. L., Tavárez, B., Amaro-Barron, J., Iqbal, A., & Mesola, R. (2023). Cranial nerve VI palsy in chronic sphenoid sinusitis. BMJ case reports, 16(8), e253773. https://doi.org/10.1136/bcr-2022-253773
Disciplines
Medicine and Health Sciences
PubMedID
37620105
Department(s)
Fellows and Residents
Document Type
Article