Isolated sphenoid sinusitis: A big headache

Introduction Isolated sphenoid sinusitis is a rare clinical entity with potentially devastating complications such as cranial neuropathies, cavernous sinus thrombosis, meningitis and intracranial abscess. Discussion Isolated sphenoid sinus disease usually presents with atypical headaches of various...

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Bibliographic Details
Published in:Malaysian family physician 2019, Vol.14 (1), p.29-30
Main Authors: Ishak, NL, Subha, ST, Bakar, S Abu
Format: Article
Language:English
Subjects:
Case Report
Headaches
Medical imaging
Meningitis
Nose
Pathology
Patients
Sinuses
Sinusitis
Thrombosis
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Summary:Introduction Isolated sphenoid sinusitis is a rare clinical entity with potentially devastating complications such as cranial neuropathies, cavernous sinus thrombosis, meningitis and intracranial abscess. Discussion Isolated sphenoid sinus disease usually presents with atypical headaches of various intensities and locations that are unresponsive to analgesics and exacerbated by head movements.2 The headaches can be located in the vertex, frontal, temporal, periorbital, and occipital regions.3 These varied locations can be explained by the sensory innervation of the sphenoid sinus, which is innervated by the trigeminal nerve, and the afferent fibers from the sphenopalatine ganglion. According to Sethi et al., the normal appearance of the sphenoethmoidal recess does not exclude sphenoid pathology.4 Reports have shown that nasoendoscopy failed to demonstrate any pathological abnormalities around the sphenoidal ostium in as many as 50% of cases.5 The clinical presentation of isolated sphenoid sinus pathology is often vague and noncharacteristic.
ISSN:1985-2274
1985-207X
1985-2274