Abstract
We present a patient with double vision, photophobia, headache and gait disturbance secondary to odontogenic sinusitis. The initial diagnosis was meningitis; the patient had bilateral diplopia, severe unilateral facial pain, nasal blockage, photophobia, headache and gait disturbance. The Patient underwent a septic screening and CT scan of the nose and paranasal sinuses which confirmed unilateral pan-sinusitis. MRI revealed enhancement of bilateral abducent nerves secondary to irritation of the meninges by the opacified sphenoid sinus.
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