DOI: 10.36347/sjams.2014.v02i02.016

Pages: 558-565

Isolated, sphenoid sinusitis is unusual, especially in children. Its incidence is about 2.7% of all sinus infections. It is frequently misdiagnosed because of its atypical presentation and it can cause serious complications because of the sphenoid sinus anatomical relations with many intracranial structures. One of the intracranial structures located closely to sphenoid sinus is oculomotor nerve. As the name suggests, the oculomotor nerve supplies the majority of the muscles controlling eye movements. Thus, damage to this nerve will result in the oculomotor palsy. There are many etiologies for oculomotor palsy one of the rare cause is sphenoid sinusitis. The manifestations depend on the affected area of 3rd nerve track. We are reporting a rare case of isolated oculomotor nerve palsy due to sphenoid sinusitis.