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

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...

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Main Authors: Deepak Vallabhaneni, Anthony Mohamed, Zain Badar, Rajiv Mangla
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/2862010
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author Deepak Vallabhaneni
Anthony Mohamed
Zain Badar
Rajiv Mangla
author_facet Deepak Vallabhaneni
Anthony Mohamed
Zain Badar
Rajiv Mangla
author_sort Deepak Vallabhaneni
collection DOAJ
description 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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institution Kabale University
issn 2090-6803
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language English
publishDate 2016-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-1587dfb40b28483a9e031ffed6f9e74a2025-02-03T01:00:58ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/28620102862010Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing PneumatizationDeepak Vallabhaneni0Anthony Mohamed1Zain Badar2Rajiv Mangla3Department of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USADepartment of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USADepartment of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USADepartment of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USASinus 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.http://dx.doi.org/10.1155/2016/2862010
spellingShingle Deepak Vallabhaneni
Anthony Mohamed
Zain Badar
Rajiv Mangla
Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization
Case Reports in Pediatrics
title Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization
title_full Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization
title_fullStr Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization
title_full_unstemmed Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization
title_short Enhancing Mass Lesion of the Sphenoid: Atypical Presentation of Ongoing Pneumatization
title_sort enhancing mass lesion of the sphenoid atypical presentation of ongoing pneumatization
url http://dx.doi.org/10.1155/2016/2862010
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AT rajivmangla enhancingmasslesionofthesphenoidatypicalpresentationofongoingpneumatization