Sphenoid sinus mucocele--rupture causing brainstem inflammation and stroke.
Can J Neurol Sci
; 35(3): 381-5, 2008 Jul.
Article
in En
| MEDLINE
| ID: mdl-18714812
ABSTRACT
BACKGROUND:
Posterior rupture of a sphenoid sinus mucocele is a rare cause of brainstem injury.METHODS:
Case report.RESULTS:
A healthy young woman with a history of prior surgical excision of nasal polyps presented with a headache and evolving neurologic symptoms. The clinical presentation and imaging studies were consistent with a posterior rupture of a large sphenoid mucocele with subsequent inflammatory changes in the brainstem and evidence of brainstem stroke. Relatively rapid recovery coincided temporally with the resolution of local inflammation. Longer-term recovery continued over months, as expected following stroke.CONCLUSIONS:
Posterior rupture of a sphenoid sinus mucocele may cause brainstem injury by multiple mechanisms.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sphenoid Sinus
/
Brain Stem
/
Stroke
/
Meningitis
/
Mucocele
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Can J Neurol Sci
Year:
2008
Type:
Article
Affiliation country:
Canada