A giant frontoethmoid mucocele with intracranial extension


Isk A. U. , ARSLAN S. , Arslan E. , BAYKAL S.

SCOTTISH MEDICAL JOURNAL, vol.60, no.1, 2015 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 60 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.1177/0036933014561949
  • Title of Journal : SCOTTISH MEDICAL JOURNAL
  • Keywords: Ethmoid sinus, frontal sinus, mucocele, intracranial extension, paranasal sinus, FRONTAL MUCOCELE, SINUS, OSTEOMA, FOSSA

Abstract

Mucoceles are mucus-containing cysts lined by epithelium. Although benign, they may show expansive growth and remain undiagnosed until symptoms due to compression of surrounding structures arise. We report a rare case of frontoethmoid mucocele with intracranial extension in an 80-year-old woman with complaints of headache, right diplopia and proptosis. A right frontoorbital craniotomy was performed, and a mucocele in the frontal sinus extending into the frontal lobe and orbit was totally removed. The patient was successfully treated without any complication. The two-year follow-up results were satisfactory. Magnetic resonance imaging excluded any recurrence of the mucocele. Combined intranasal and transcranial approach is necessary to treat giant frontoetmoid mucoceles with intracranial extension.