Superior Branch Palsy of the Oculomotor Nerve Caused by Acute Sphenoid Sinusitis

VERAJIT CHOTMONGKOL, M.D.*, SEKGSAN CHAINUNSAMIT, M.D.**

Affiliation : * Department of Medicine, ** Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

AbstractA 52-year-old man presented with unilateral headache for 6 days. Physical examination revealed an ipsilateral paresis of the superior division of the oculomotor nerve with chemosis. CT scan of the paranasal sinuses showed ipsilateral sphenoid sinusitis with cavernous sinus involve- ment. The symptoms were completely improved by medical treatment only.

Keywords : Acute Sphenoid Sinusitis, Oculomotor Nerve Palsy

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