RT Journal Article
SR Electronic
T1 Silent sinus syndrome: an unusual case of facial numbness
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP 494
OP 496
DO 10.1136/practneurol-2017-001807
VO 18
IS 6
A1 Samuel Tribich
A1 Colin J Mahoney
A1 Nicholas W Davies
YR 2018
UL http://pn.bmj.com/content/18/6/494.abstract
AB A 49-year-old man presented with a 1-week history of right facial paraesthesia with blurred vision and diplopia. Examination was normal apart from reduced facial sensation. Following appropriate neuroimaging, we considered a diagnosis of silent sinus syndrome. He underwent a middle meatal antrostomy with complete resolution of symptoms. Silent sinus syndrome results from occlusion of the osteomeatal complex, preventing normal aeration of the maxillary sinus. Maxillary sinus hypoventilation typically causes inferior displacement of the globe in the orbit (unilateral hypoglobus). Neurologists will only infrequently see people with silent sinus syndrome but it can have devastating consequences if left untreated and so must be considered in the appropriate clinical context.