Cavernous sinus syndrome as the only manifestation of sarcoidosis

We describe a 63-year-old Afro-Caribbean female who presented with complete ophthalmoplegia of the right eye. Magnetic resonance imaging revealed a mass in the cavernous sinus, which was pathologically confirmed as due to sarcoidosis. No clinical or laboratory evidence of sarcoidosis was found in an...

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Bibliographic Details
Published inJournal of postgraduate medicine (Bombay) Vol. 48; no. 2; pp. 119 - 121
Main Authors Zarei, M, Anderson, J R, Higgins, J N, Manford, M R
Format Journal Article
LanguageEnglish
Published India 01.04.2002
Subjects
Adrenal Cortex Hormones - administration & dosage
Cavernous Sinus - pathology
Cavernous Sinus - surgery
Diagnosis, Differential
Female
Follow-Up Studies
Gadolinium
Humans
Magnetic Resonance Imaging
Middle Aged
Ophthalmoplegia - diagnosis
Ophthalmoplegia - etiology
Radiographic Image Enhancement
Sarcoidosis - complications
Sarcoidosis - diagnosis
Sarcoidosis - drug therapy
Syndrome
Treatment Outcome
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Summary:We describe a 63-year-old Afro-Caribbean female who presented with complete ophthalmoplegia of the right eye. Magnetic resonance imaging revealed a mass in the cavernous sinus, which was pathologically confirmed as due to sarcoidosis. No clinical or laboratory evidence of sarcoidosis was found in any other organs. We believe this is the first reported case of an isolated cavernous sinus syndrome due to sarcoidosis and suggest that sarcoidosis should be considered in the differential diagnosis of cavernous sinus syndromes even in the absence of systemic involvement of sarcoidosis.
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ISSN:0022-3859