Wednesday, 30 September 2015

Isolated Sphenoiditis Presenting with Abducens Nerve Palsy

Isolated Sphenoiditis Presenting with Abducens Nerve Palsy

Pedram Kordrostami* and Amit Parmar
Abstract: 
Para nasal sinus infection is common in paediatric patients; however isolated infection of the sphenoid sinus is rare and can result in life threatening complications. Diagnosing Sphenoiditis on the basis of history and examination can be troublesome as the clinical picture is often non-specific and patients seldom complain of nasal symptoms. We report a case of sphenoid sinusitis in a 12-year-old boy who presented with unilateral VIth nerve palsy and visual disturbance. This case highlights the diagnostic challenge of sphenoid sinusitis and the importance of early collaboration between paediatric, ophthalmology and ENT specialists to achieve the best outcomes.

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