Isolated Unilateral Ptosis Presenting as a Complication of Acute Rhinosinusitis: Case Report

Patients with acute sinusitis most commonly present with nasal congestion, nasal discharge, post nasal drip, facial pain and headache. Uncommonly ocular and intra cranial complications are seen due to proximity of orbit and brain to paranasal sinuses. However isolated ptosis presenting as an ocular complication of rhinosinusitis is uncommon especially without visual loss and impact on extra ocular movements. We report a case of 13 years old male patient who presented to our neurology colleagues with a 3 days history of left sided unilateral isolated ptosis. He was being evaluated for myasthenia gravis and MRI scan revealed paranasal sinus disease which suspicion of mucopyocoele. He underwent a surgical drainage of sphenoid under appropriate antibiotic cover and his symptoms resolved almost completely on the 2nd post-operative day. The objective of this case report is to highlight unusual complication of acute sinusitis thereby providing guidance to diagnosis and treatment of such cases.

Keywords: Ptosis, acute sinusitis, orbital complications.