A 40-year-old male presented with a single generalized tonic-clonic seizure. MRI revealed an enhancing, dural-based, left lateral sphenoid wing lesion suggestive of a meningioma. At microsurgical excision, the lesion was firm and relatively avascular. The histopathological report revealed S-100 positive histiocytic proliferation with lymphophagocytosis (emperipolesis) characteristic of the Rosa...

The aims of this study are to determine the intra-observer and inter-observer agreement between the two radiologists when reporting the Waters view and 3 views series of the paranasal sinus radiographs. To also determine whether a single Waters view is adequate for diagnostic purpose of sinusitis. 90 sets of paranasal sinuses radiographs were reported by two radiologists independently. The resu...

Inflammatory carotid artery aneurysm is a rare complication of acute paranasal sinusitis. A 50-year-old female presented with a ruptured giant carotid artery aneurysm secondary to infection of the sphenoid sinus and cavernous sinus. She had been healthy until 5 days before admission, when she developed orbital phlegmon and meningitis. She received antibiotic therapy for 10 days. Computed tomogr...

CONCLUSION Inflammatory diseases, such as non-specific sinusitis, fungal sinusitis and mucocele, commonly involve the sphenoid sinus. Endoscopic surgery provides an easy and successful access to isolated sphenoid sinus diseases (ISSDs) with rare complications. OBJECTIVES The incidence of ISSDs has decreased since a wide use of antibiotics. ISSDs can cause severe complications due to the deep ...

background sphenoid sinus is surrounded by many vital vascular and nervous structures. in more than 20% of patients with chronic sinusitis, involvement of sphenoid sinus has been observed. besides, sphenoid sinus is an appropriate route to access anterior and middle cranial fossa in surgery. therefore, it is important to have an adequate knowledge about the contents of sphenoid sinus and its pr...

Background: Fungal sinusitis of isolated sphenoid sinus is a rare entity. Most of the sufferers referred with complications since the primary manifestations are non-characteristic. Case presentation: We describe a 40-year old woman presenting with severe headache, diplopia, and limited right-eye movement. Further studies proposed isolated sphenoidal sinusitis, for which she underwent endoscopic...