Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization.

Autor: Vallabhaneni D; Department of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USA., Mohamed A; Department of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USA., Badar Z; Department of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USA., Mangla R; Department of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
Jazyk: angličtina
Zdroj: Case reports in pediatrics [Case Rep Pediatr] 2016; Vol. 2016, pp. 2862010. Date of Electronic Publication: 2016 Dec 12.
DOI: 10.1155/2016/2862010
Abstrakt: Sinus pneumatization is a complex variable process that begins in early life and continues for many years. We present a case of a 6-year-old boy with progressive headaches and neurologic symptoms suggestive of intracranial pathology. The presence of enhancing tissue within the sphenoid sinus created a diagnostic dilemma which leads to a transsphenoidal biopsy. Knowledge of imaging characteristics associated with incomplete pneumatization can help differentiate it from more ominous skull base pathology and prevent unnecessary testing. We describe four-year imaging follow-up in a patient with incomplete pneumatization of the sphenoid sinus presenting as an enhancing mass lesion with subsequent follow-up imaging demonstrating gradual regression and increased aeration of the sphenoid sinus.
Competing Interests: The authors declare that there is no conflict of interests regarding the publication of this paper.
Databáze: MEDLINE