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Journal of Korean Neurosurgical Society 1988;17(4): 861-865.
Sphenoid Sinus Mucocele with Intracranial Extension: Case Report.
Se Pyoung Shin, Jong Kwang Lee, Tae Young Kim
1Department of Neurosurgery, School of Medicine, Won Kwang University, Iksan, Korea.
2Department of Otolaryngology, School of Medicine, Won Kwang University, Iksan, Korea.
ABSTRACT
A case of mucocele of the sphenoid sinus with blurred vision and headache is presented. Mucocele of the sphenoid sinus is relatively rare and benign. Accurate diagnosis is possible through Brain CT scan and MRI. But it should be included in the differential diagnosis of malignancy or pituitary tumor, and unnecessary treatment such as radiotherapy or craniotomy should not be performed. In this case, mucocele is extended into sella turcica which is markedly destroyed and eroded. We removed it by sublabial transseptal sphenoidal sinusotomy and drainage without difficulties and postoperative complications.
Key Words: Mucocele; Sphenoid sinus; Intracranial extension; Transsphenoidal approach
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