American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2014, 2(11), 256-258
DOI: 10.12691/ajmcr-2-11-9
Open AccessCase Report

Arachnoid Cyst in the Sphenoid Sinus Presented with Headache and Proptosis

Asif Salimov1, , Serdar Ozer1, Celil Gocer2, Burce Mocan3, Riza Onder Gunaydin1 and Omer Taskin Yucel1

1Hacettepe University Hospital, Department of Otolaryngology Head and Neck Surgery, Ankara, Turkey

2Ozel Lokman Hekim Hospital, Otolaryngology Division, Ankara, Turkey

3Hacettepe University Hospital, Department of Radiology, Ankara, Turkey

Pub. Date: November 12, 2014

Cite this paper:
Asif Salimov, Serdar Ozer, Celil Gocer, Burce Mocan, Riza Onder Gunaydin and Omer Taskin Yucel. Arachnoid Cyst in the Sphenoid Sinus Presented with Headache and Proptosis. American Journal of Medical Case Reports. 2014; 2(11):256-258. doi: 10.12691/ajmcr-2-11-9

Abstract

Arachnoid cysts are benign lesions that contain content similar to cerebrospinal fluid. Arachnoid cysts may cause neurological symptoms but they are commonly asymptomatic. They are commonly located in the middle cranial fossa. Paranasal sinuses are rare locations of them. We present a case with a preoperative diagnosis dilemma about young male patient with headache, vomitting and proptosis. Cranial MR scanning showed large left temporal arachnoid cyst and other cystic lesion with different signal changes in the left sphenoid sinus which leads to enlargement of the sinus. In this article we are discussing the patient, that had cerebrospinal fluid (CSF) rinorrhea; after his left sphenoid sinus explored at outside clinic, then getting up with conservative follow-up, with radiological imagings and literature findings. We should consider arachnoid cysts within differrential diagnosis of intrasphenoidal cystic lesions.

Keywords:
arachnoid cyst sphenoid sinus cerebrospinal fluid rinorrhea

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