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Alternating orbital symptoms in cavernous sinus syndrome due to isolated sphenoid sinusitis [Tr-ENT]
Tr-ENT. 2010; 20(3): 142-145

Alternating orbital symptoms in cavernous sinus syndrome due to isolated sphenoid sinusitis

Dorris V. Velasco1, Jose Florencio F. Lapeña

A 40-year-old male with left-sided headaches,
ptosis, proptosis and extra-ocular muscle paralysis
developed right-sided headaches, proptosis,
chemosis, diplopia, extra-ocular muscle paralysis
and trigeminal sensory loss. An enhancing left
orbital, intrasellar and parasellar cavernous nodule
on magnetic resonance imaging progressed into
a right cavernous sinus and orbital apex soft tissue
mass. Cavernous sinus syndrome from sphenoid
sinusitis resolved after endoscopic transnasal
sphenoidotomy. This diagnostic complexity and its
treatment options are discussed according to current
literature.

Keywords: Cavernous sinus syndrome; diagnostic complexity;endoscopic transnasal sphenoidotomy; isolatedsphenoid sinusitis.

İzole sfenoid sinüzite bağlı kavernöz sinüs sendromundaki değişken orbital semptomlar

Dorris V. Velasco1, Jose Florencio F. Lapeña

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Anahtar Kelimeler: Kavernöz sinüs sendromu; tanısalkarmaşa; endoskopik transnazal sfenoidotomi; izole sfenonidsinüzit.

Dorris V. Velasco, Jose Florencio F. Lapeña. Alternating orbital symptoms in cavernous sinus syndrome due to isolated sphenoid sinusitis. Tr-ENT. 2010; 20(3): 142-145

Corresponding Author: Dorris V. Velasco
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