Teaching neuroimages: isolated sphenoiditis: an uncommon cause of abducens nerve palsy.

Authors
Category Primary study
JournalNeurology
Year 2013
A 35-year-old woman presented with a headache lasting 2 weeks and complained of recent diplopia. Neurologic examination showed limited left eye abduction. Initial brain CT scan was considered normal (figure, A). Brain MRI showed left sphenoiditis (figure, B). The patient was treated with amoxicillin/clavulanic acid and corticosteroids with rapid symptom improvement which deferred endoscopy that could provide a bacteriologic diagnosis.
Epistemonikos ID: 1cf555be313be1390aa65cb4fb5914887e2d1bf0
First added on: Apr 21, 2023