Dangerous diplopia: A case of pansinusitis

  • Haizul IM
  • Umi Kalthum MN
Keywords: diplopia, headache, sinusitis, sixth nerve palsy

Abstract

Purpose:To report a case of pansinusitis after swimming in a common pool

Case report:Acute sinusitis is ranked the fifth-most common indication for antibiotic prescriptions.2 Although sinusitis is often diagnosed clinically, cases that are resistant to conventional antibiotic therapy or recurrent cases may require diagnostic imaging in order to confirm the diagnosis. The complications of sinusitis, though rare, may lead to serious consequences if not diagnosed and treated early. We report a 33-year old man with pansinusitis presenting with a sudden onset of peripheral gaze diplopia associated with progressive frontal headache. His symptom resolved completely after he was given intravenous antibiotics and a nasal decongestant.

References

Lindbaek M. Acute sinusitis: guide to selection of antibacterial therapy. Drugs. 2002; 64: 805- 19.

Fagnan LJ. Acute sinusitis: a costeffective approach to diagnosis and treatment. Am Fam Physician. 1998; 58:1795-802,805-6.

Mubaidin AF, Hairi MA. Sixth nerve palsy and sphenoidal sinusitis. Neurosciences. 2000; 5(3): 174- 6.

Chee L, Graham SL. Immune dysfunction in refractory sinusitis in a tertiary care setting. The Laryngoscope. 2001; 111: 233- 235.

Patel SV, Mutyala S, Leske DA. Incidence, association, and evaluation of sixth nerve palsy using a population based method. Ophthalmology. 2004; 111: 369- 75.

George B. Peters, Sophie J, Bakri, Greogery. B, Krohel. Cause and prognosis of nontraumatic sixth nerve palsies in young adults. Ophthalmology. 2002; 109; 1925- 1928.

Kazkayasi M, Karadeniz Y, Arikan OK. Anatomic variations of sphenoid sinus on comuted tomography. Rhinology. 2005; 43: 109- 14.

Ayberk G, Mehmet Faik Özveren, Timur Yildirim, Karabekir Ercan, Emine Kalkançay, Ayflegül Koçak. Review of a series with abducens nerve palsy. Turkish Neurosurg. 2008; 18: 366- 373.

Jung HJ, Jung MP, Jaehwan K, Soo Jung Lee. Abducens nerve palsy complicated by inferior petrosal sinus septic thrombosis due to mastoiditis. Korean J Ophthalmol. 2012 February; 26: 65–68.

Zeinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirement for endoscopic surgery. Radiology. 1987; 163: 769- 75.

Tan HHK, Ong YK. Acute isolated sphenoid sinusitis. Ann Acad Med. Singapore 2004; 33: 656-9

Williamson IG, Rumsby K, Benge S, Moore M, Smith PW, Cross M, et al. Antibiotics and topical nasal steroid for treatment of acute maxillary sinusitis: a randomized controlled trial. JAMA. 2007; 298(21): 2487-96.

Published
2012-03-31
How to Cite
IM, H., & MN, U. K. (2012). Dangerous diplopia: A case of pansinusitis. Malaysian Family Physician, 8(1), 4. Retrieved from https://www.e-mfp.org/ojs3/index.php/MFP/article/view/113
Section
Original Articles