Unusual presentation of pediatric acute sphenoid sinusitis

Unusual presentation of pediatric acute sphenoid sinusitis

Authors

  • Davide Giordano Otolaryngology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS
  • Daniele Perano Otolaryngology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS
  • Sylvia Marchi Ophtalmology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS
  • Maria Gabriella Raso Anaesthesiology and Intensive Care Unit, University Hospital of Parma, Parma, Italy
  • Verter Barbieri Otolaryngology Unit, Arcispedale Santa Maria Nuova - IRCCS, Reggio Emilia, Italy

Keywords:

sphenoid sinusitis, paranasal sinus, oculomotor nerve paresis, functional endoscopic sinus surgery, debridement

Abstract

Background: Sphenoid sinus lesions are rare entities, occurring in 2 - 3% out of all paranasal sinus lesions. Isolated oculomotor nerve palsy due to acute sphenoid sinusitis is very rare, with only few cases reported in literature. Methods: Retrospective report about a case of isolated acute sphenoid sinusitis in a child with a left-sided third cranial nerve paralysis as the only sign at presentation. Results: Isolated oculomotor nerve palsy can be the initial sign of an isolated acute sphenoid sinusitis in children and it requires a high index of suspicion in order to avoid a delay in diagnosis. Conclusions: Magnetic resonance imaging should be promptly performed. Functional endoscopic sinus surgery represents the treatment of choice in order to restore sinus drainage and avoid further intracranial or ocular complications. The need of serial postoperative debridement under general anesthesia should be adequately scheduled and previously discussed with parents.

Author Biography

Davide Giordano, Otolaryngology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS

Otolaryngology Unit, Department of  Surgery, Arcispedale Santa Maria Nuova - IRCCS, viale Risorgimento 80, 42123 Reggio Emilia, Italy. Phone: 0039 0522 296273; Fax: 0039 0522 295839.

Downloads

Published

17-12-2014

How to Cite

1.
Unusual presentation of pediatric acute sphenoid sinusitis. Acta Biomed [Internet]. 2014 Dec. 17 [cited 2024 May 19];85(3):271-4. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/3424

Most read articles by the same author(s)