J Med Assoc Thai 2001; 84 (9):1340

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Sphenoid Sinus Mucocele Presenting with Isolated Oculomotor Nerve Palsy
Aeumjaturapat S Mail, Wadwongtham W

Isolated sphenoid sinus mucoceles are rare. Patients who have these lesions can present
with several different symptoms and signs such as headache, nasal symptoms, and cranial nerves
2, 3, 4, and 6 palsies. Isolated oculomotor nerve palsy is not a common presenting symptom of
sphenoid sinus mucocele. However, exclusion of sphenoid sinus mucocele should be made when the
patient presents with isolated oculomotor nerve palsy. A case of sphenoid sinus mucocele with
isolated oculomotor nerve palsy is presented with review of the literature. The oculomotor nerve
function in this patient completely recovered after endoscopic sphenoidectomy.
Key word
: Sphenoid Sinus, Mucocele, Oculomotor Nerve Palsy

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