Sphenocavernous Syndrome 1
General: Lesion in the cavernous sinus; similar to the superior orbital fissure syndrome (Rochon-Duvigneaud) and orbital apex syndrome (see Rochon-Duvigneaud Syndrome).
Ocular: Proptosis; edema; paresis of cranial nerves III, IV, and VI (paralysis of the abducens nerve precedes paralysis of the oculomotor nerve, because the abducens is situated between the internal carotid artery and the cavernous sinus wall); conjunctival edema.
Clinical: Paresis of the first (sometimes second and third) division of cranial nerve V; sinusitis.
Geeraets WJ. Ocular Syndromes. 3rd ed. Philadelphia: Lea & Febiger, 1976:404.
Jefferson G. Concerning injuries, aneurysms and tumours involving the cavernous sinus. Trans Ophthalmol Soc UK 1953; 73:117.
Sekhar LN, et al. Surgical management of lesions within the cavernous sinus. Clin Neurosurg 1991; 37:440-489.
Watson NJ, et al. A case of sinusitis presenting with spheno-cavernous syndrome: discussion of the differential diagnosis. Scott Med J 1991; 36:179-l80.
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