Diplopia in childhood secondary to sphenoidal sinusitis

Ocular palsies are seldom seen in pediatric neurology practice whereas more common in adults. A variety of neurological and muscular disorders play role in etiology. Sphenoid sinusitis, which is very rare in childhood period, can cause serious neurological complications because of its anatomically close location to some vital organs. Sphenoid sinusitis should be ruled out in differential diagnosis of diplopia in children.