Epidural hematoma accompanied by oculomotor nerve palsy due to sphenoid sinusitis

• Published in: American journal of otolaryngology Vol. 32; no. 4; pp. 355 - 357
• Main Authors: Cho, Kyu-Sup, MD, PhD, Cho, Won-Ho, MD, PhD, Kim, Hak-Jin, MD, PhD, Roh, Hwan-Jung, MD, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-07-2011; Elsevier; Elsevier Limited
• Subjects: Adolescent; Biological and medical sciences; Craniocerebral Trauma - complications; Craniocerebral Trauma - diagnosis; Diagnosis, Differential; Female; Hematoma, Epidural, Cranial - diagnosis; Hematoma, Epidural, Cranial - etiology; Humans; Magnetic Resonance Imaging; Medical disorders; Medical imaging; Medical sciences; Neurology; Non tumoral diseases; Oculomotor disorders; Oculomotor Nerve Diseases - diagnosis; Oculomotor Nerve Diseases - etiology; Ophthalmology; Otolaryngology; Otorhinolaryngology (head neck, general aspects and miscellaneous); Otorhinolaryngology. Stomatology; Sinuses; Sphenoid Sinusitis - complications; Sphenoid Sinusitis - diagnosis; Surgery; Tomography, X-Ray Computed; Trauma; Vascular diseases and vascular malformations of the nervous system; Nervous system diseases; Motor system disorder; Cardiovascular disease; Extradural hematoma; ENT; Oculomotor nerve paralysis; Sinusitis; Vascular disease; Eye disease; Cranial nerve disease; Sphenoidal sinus; Ophthalmoplegia; ENT disease; Paranasal sinus disease; Oculomotor syndrome; Neurological disorder; Oculomotor nerve
• ISSN: 0196-0709; 1532-818X
• DOI: 10.1016/j.amjoto.2010.07.003

Abstract Spontaneous epidural hematoma (EDH) is rarely mentioned in the literature as an intracranial complication of sinusitis. We report a 17-year-old female patient who developed spontaneous EDH accompanied by isolated oculomotor nerve palsy as a complication of sphenoid sinusitis. Sphenoid sinusitis could be considered as the causative disease in a patient with spontaneous EDH accompanied by isolated oculomotor nerve palsy without history of head trauma.