抄録
A 73-year-old man visited our hospital complaining of a headache, mild visual disturbance in the left eye, left oculomotor palsy and abducens palsy. X-ray, CT and MRI examinations suggested posterior paranasal sinusitis or a tumor, probably in the sphenoid sinusitis. Either a cystic change or bone defect was detected. We opened the left sphenoid sinus through the maxillary and ethmoid sinuses. No tumor was found. In the sphenoid sinus, there was mucosal thickening with pus. All ocular complications except for abducens palsy disappeared within a few day after the operation. It was concluded that sphenoid sinusitis without mucocele caused the ophthalmological complications.
