Objective: Objective of the study was to evaluate the diagnostic yield of X-rays taking CT scan as gold standard in acute and chronic sinusitis. Study Design:Validation study. Place and Duration of study: The study was conducted in the Radiology Department CMH Rawalpindi, from 1st Aug 2007 to 31st July 2008. Patients and Methods: This study involved 95 patients of both genders above 18 years of...

Infection was amongst the most feared complications of renal transplantation in the early era of this technique. Serious infection developed in up to 70% of renal transplant recipients, and a subsequent fatal outcome occurred in as many as between 11 and 40% [1]. Improved surgical techniques, more targeted immunosuppression and prophylactic antimicrobial agent use have led to a dramatic reducti...

A case of orbital cellulitis complicating the rare isolated unilateral sphenoidal sinusitis is reported, stressing the importance of a CT scan where plain x-rays fail to show any abnormality.

BACKGROUND We report a case of steroid-resistant Tolosa-Hunt syndrome (THS) with recurrent bilateral painful ophthalmoplegia, accompanied with sphenoid sinusitis, pituitary abscess, and an aneurysm arising from the cavernous portion of the internal carotid artery. CASE DESCRIPTION A 53-year-old woman suffered severe left painful ophthalmoplegia. A magnetic resonance image (MRI) revealed thick...

Objective. We aim to describe the first case in the literature of allergic fungal sinusitis (AFS) presenting with hyperprolactinemia due to compression of the pituitary gland. Case Presentation. A 37-year-old female presented with bilateral galactorrhea and occipital headaches of several weeks. Workup revealed elevated prolactin of 94.4, negative pregnancy test, and normal thyroid function. MRI...

We report a case of unruptured fungal internal carotid artery (ICA) aneurysm and review the pertinent literature. A 79-year-old man presented with decreased visual acuity on the right side, and he was diagnosed with retrobulbar optic neuritis. Medical treatment with steroids resulted in Aspergillus meningoencephalitis spreading to the bottom of bilateral frontal lobes, caused by an intracranial...

Ganglioneuromas (GNs) are well-differentiated, slow-growing, benign tumors that are quite rare and usually found in the posterior mediastinum and retroperitoneum. They are composed of ganglion and Schwann cells and their origin remains in dispute. GNs have been reported as intraosseous lesions, such as in temporal and orbital bones. There are rare reports of intracranial lesions, mostly in the ...

Most, but not all, sellar abnormalities are pituitary adenomas. We recently reviewed our series of transsphenoidal procedures done between 1998 and 2009 to determine the incidence and characteristics of non-pituitary sellar lesions (1). Over this period, 1,469 transsphenoidal procedures were performed. One hundred sixteen cases (7.9%) were not pituitary tumors. These were divided into four majo...

Many and diverse sinus pathologies can present with an orbital involvement. Contrary to popular belief, uncomplicated rhinosinusitis causes rarely orbital pain or headaches. However, especially in children, acute ethmoidal rhinosinusitis can be complicated by an extension of the infection into the orbit. Also, isolated sphenoid sinusitis is often associated with significant ophthalmologic or ne...

OBJECTIVES Differential diagnosis is essential, since secondary headache due to paranasal sinus lesions are similar in headache characteristics to primary headache. However, since patients visiting the emergency department due to acute severe headache are primarily treated by neurologists, paranasal sinuses lesions and anatomical variations of the nasal cavity causing the headache are commonly ...