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January 1964

Oculomotor Nerve Palsy Associated With Mucocele of the Sphenoid Sinus

Author Affiliations

Howe Laboratory of Ophthalmology, Harvard University Medical School, Massachusetts Eye and Ear Infirmary.; Resident in Ophthalmology, Massachusetts Eye and Ear Infirmary and Howe Laboratory of Ophthalmology, Harvard Medical School (Dr. Reinecke): Associate Surgeon and Clinical Associate Harvard Medical School (Dr. Montgomery).

Arch Ophthalmol. 1964;71(1):50-51. doi:10.1001/archopht.1964.00970010066008

Mucocele of the sphenoid sinus is not a generally recognized cause of third nerve paralysis. Yet this is one cause of paralysis which is amenable to surgery with a good prognosis for recovery of the third nerve function. Accordingly we wish to report two cases which have been treated at the Massachusetts Eye and Ear Infirmary.

History of Cases 

Case 1.  —A 75-year-old white barber presented himself at the emergency ward with a chief complaint of "pain in the right eye for the past four weeks."

History of the Present Illness.  —The patient was in his usual state of good health until four weeks prior to admission when he developed a moderately productive cough and rhinorrhea. At this time, he noted tearing of the right eye and some pain in that eye. Three weeks prior to admission he first noted pain in the right temporal region. This pain was throbbing

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