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

AI Article Synopsis

  • Sinus pneumatization is a gradual process that continues throughout childhood, which can sometimes lead to complications during diagnosis.
  • A case is presented of a 6-year-old boy experiencing headaches and neurological symptoms, leading to concerns about potential brain issues due to abnormal tissue in the sphenoid sinus.
  • Understanding the imaging signs of incomplete pneumatization is crucial for distinguishing it from serious skull base conditions, which can help avoid unnecessary medical interventions.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5183743PMC
http://dx.doi.org/10.1155/2016/2862010DOI Listing

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