Reversible blindness secondary to acute sphenoid sinusitis.

  title={Reversible blindness secondary to acute sphenoid sinusitis.},
  author={Gregory N. Postma and Richard A. Chole and William R. Nemzek},
  journal={Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery},
  volume={112 6},
Sphenoid sinusitis is an elusive diagnosis with significant morbidity if not diagnosed and treated promptly. We have reported an unusual case of acute sphenoiditis mimicking Gradenigo's syndrome. This resulted in virtual bilateral blindness that entirely resolved with aggressive surgical and medical treatment. It is recommended that sphenoid sinusitis be strongly considered in patients with acute headache and fever. A detailed cranial nerve examination should be performed, and CT scans of the… CONTINUE READING