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Symptomatic epilepsy due to a huge frontal sinus mucocele. A case report.

Lachanas VA, Kyrmizakis DE, Chimona TS, Karatzanis AD, Spilioti MG, Velegrakis GA

Department of Otorhinolaryngology, University of Crete, School of Medicine, Heraklion, Crete, Greece.

We report the case of a 57-year-old man complaining of headaches and adult onset seizures. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a process which proved to be a huge frontal sinus mucocele, eroding the posterior wall of the frontal sinus and compressing the left frontal lobe. An osteoplastic flap procedure with cranialization and obliteration of the frontal sinus was performed. The seizures and headache disappeared postoperatively. Clinical manifestations, diagnosis and surgical approaches for grand frontal sinus mucoceles are briefly discussed.

Published 10 May 2005 in Auris Nasus Larynx, 32(1): 81-3.
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