Sudden blindness in a child: presenting symptom of a sphenoid sinus mucocele.
case_report · Level V
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- Record sourced from PubMed, PMID 1390537.
- Also identified by PMC identifier 504328.
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Abstract
A 10-year-old girl with no nasal or respiratory symptoms developed a headache lasting a few hours. The next day she became totally blind in the right eye and over 5 days vision in the left eye deteriorated to bare light perception. The diagnosis of a sphenoid sinus mucocele was made radiologically and drainage via an endonasal sphenoidectomy produced 12 ml of brownish fluid. Endoscopic biopsy of the wall confirmed the diagnosis of a mucocele. Steroid treatment was given postoperatively, but vision recovered to 6/12 in the left eye only. The importance of urgent clinical diagnosis and treatment is stressed.
Medical subject headings
- Blindness
- Mucocele
- Paranasal Sinus Diseases