A very rare case of sphenoid lymphoma presenting as cavernous sinus syndrome

Abstract

A 4-year-old boy admitted to our clinic with unilateral ophthalmoplegia, ptosis, and proptosis. He has been suffering the symptoms of a headache, nausea, dyspnea, fatigue, weakness, and loss of appetite for about three months. Complete blood count showed an increased white blood cell count with 77% blast cells, anemia, and thrombocytopenia. Magnetic resonance imaging (MRI) examination revealed the mass was obliterating the sphenoid and cavernous sinuses also causing osseous
changes of the sinus walls. We performed endoscopic surgical decompression to relieve the symptoms of cavernous sinus syndrome also to obtain enough tissue samples for pathologic diagnosis. Pathologic examination revealed that the mass was diffuse B cell non-Hodgkin lymphoma and the patient was referred to pediatric oncology department for further treatment.

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