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Clinical Notes
June 9, 1978

Benign Imitator

Author Affiliations

From the Departments of Medicine (Dr Levister) and Surgery (Dr Cross), Eastern Virginia Medical School, Norfolk; and the Department of Surgery, Medical College of Virginia Richmond, (Dr Cross).

JAMA. 1978;239(23):2474. doi:10.1001/jama.1978.03280500070026

SPHENOID sinus mucocele is a rare entity; there have been less than 100 cases reported in the English literature up to 1975 since the initial description by the Swedish surgeon John Berg in 1889. It is an expanding lesion with compression of the internal carotid artery, cavernous sinus, pituitary gland, and the first six cranial nerves.

We report this case to alert physicians to this impressive but benign disorder so that appropriate roentgenograms will be obtained and early otorhinolaryngologic referral made.

Report of a Case  A 35-year-old woman had a three-week history of diplopia, many years of nasal obstruction, a constant diffuse midline facial ache, and a four-week sensation of "something in my left eye."Her nasal septum was very irregular, with obstruction and bilaterial polyps. There was a left proptosis and paralysis of the lateral rectus muscle. The disks were normal. The visual acuity in the left eye was