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Unilateral abducens nerve palsy: a presenting sign of sphenoid sinus mucocoeles

Published online by Cambridge University Press:  29 June 2007

A. Muneer  and
N. S. Jones
A. Muneer
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK.
N. S. Jones*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK.
*
Address for correspondence: N. S. Jones, Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, Nottingham NG7 2UH.
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Abstract

Sphenoid sinus mucocoeles can stimulate a variety of pathological conditions and patients can present to a range of specialists. Because of the relative rarity of sphenoid sinus mucocoeles, diagnosis is often delayed and these lesions can progressively expand and cause direct mechanical compression on adjacent structures. We present three cases which presented with an abducens nerve palsy. Early surgical intervention is advocated and these patient's symptoms resolved following surgery. Although several conditions can present with an abducens nerve palsy, it is important to consider a sphenoid sinus mucocoele in the differential diagnosis.

Keywords

MucocoeleSphenoid sinusAbducens nerve
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 7 , July 1997 , pp. 644 - 646
Copyright
Copyright © JLO (1984) Limited 1997

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