Lymphoma of the sphenoid sinus presenting as abducens nerve palsy in a child.
- Resource Type
- Article
- Authors
- Stepan, Lia; Shaw, Chi‐Kee Leslie
- Source
- Surgical Practice. Aug2018, Vol. 22 Issue 3, p138-140. 3p. 2 Color Photographs, 2 Black and White Photographs.
- Subject
- *SPHENOID sinus
*LYMPHOMAS
*ABDUCENS nerve
*SURGICAL & topographical anatomy
*DISEASE progression
*SURGERY
- Language
- ISSN
- 1744-1625
Primary sphenoid sinus malignancy with abducens nerve palsy is rare in the paediatric population. We report the first case of bilateral isolated abducens nerve palsy secondary to primary T‐cell anaplastic lymphoma of the sphenoid sinus in the absence of radiological evidence of bony destruction or malignant invasion in an 8‐year‐old boy. This case highlights the importance of understanding surgical anatomy of the sphenoid sinuses and cavernous sinuses, and to maintain a high index of suspicion when a patient is presented with simultaneous palsy of any of the cranial nerves within the cavernous sinus and sphenoid sinus disease, despite possible disparities between clinical features and radiological findings. Prompt surgical exploration and biopsy of sphenoid sinus is imperative to establish the diagnosis and to initiate treatment in order to avoid further progression of disease or other complications. [ABSTRACT FROM AUTHOR]