:: Korean Journal of Otorhinolaryngology-Head and Neck Surgery

Korean Journal of Otorhinolaryngology-Head and Neck Surgery. 1989; 32(4): 730-4.

A Case of Mucocele of the Sphenoid Sinus Causing Sudden Onset of Blindness and Hyperprolactinemia

Joong Jae Lee, MD;Hong Bock Ha, MD;In Gug Na, MD;Kyung Yu Park, MD;Moon Suh Park, MD; and Sun Chul Lee, MD

Department of Otolaryngology, College of Medicine, Hallym University, Korea

돌발성 실명과 고프로락틴증을 유발한 거대한 접형동 점액낭종 1례

이중재;하홍복;나인국;박경유;박문서;이선철

한림대학교 의과대학 이비인후과학교실

ABSTRACT

Mucocele of the sphenoid sinus is a rare condition that usually presents with frontal and retroorbital headache of a constant unrelenting nature. Signs and symptoms are caused by local expansion of the mucocele and include headache(the most common symptom), ophthalmoplegia, visual disturbance and proptosis. Ophthalmoplegia and visual disturbance that are usually gradual in onset, but may be sudden, may complicate the illness. Moreover, the sphenoid mucocele causing sudden onset of blindness and hyperprolactinemia is an extremely unusual condition. We experienced a huge mucocele involving the sphenoid sinus manifested a sudden onset of blindness and hyperprolactinemia. The case was treated with sublabial transseptal approach and sphenoid sinusotomy successfully. So, we present this case with a brief review of the literature.