Sphenoid Sinus Diseases: A Review of 1,442 Patients
Diagnoses of sphenoid lesions.
One with a supraclinoid ICA aneurysm
37 fungal balls, 11 invasive
Two resolved sphenoiditis, two chronic inflammation, two retention cysts, one mucocele, one polyp, one Tuberculosis (TB), one
Benign, benign fibroosseous lesion
Three fibrous dysplasias, three pituitary adenomas, two meningiomas, two inverted papillomas, one giant cell tumor, one neuroendocrine tumor
Two plasmacytomas, one myeloid sarcoma, one adenocarcinoma, one breast cancer, one melanoma, one neuroblastoma, one chordoma, one poorly differentiated carcinoma (CA), one squamous cell CA, one lymphoma, one neuroendocrine CA
pseudoaneurysm case presented with clinical meningitis. On his brain CT scan, a pseudoaneurysm of the cavernous segment of the internal carotid artery (ICA) was found with an extension into the cloudy sphenoid sinus. After a 2-week course of intravenous antibiotics and surgical clipping of the supraclinoid ICA and bypass (common carotid artery-middle cerebral artery), his sphenoiditis resolved without surgical drainage.
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