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Kang H, Kim JK, Kim Y. Association of cholesterol granuloma and aspergillosis in the sphenoid sinus. Korean J Radiol 2008; 9(Suppl): S30-3.

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Article

Cholesterol Granuloma of Sphenoid Sinus: Report of a Rare Case

1Department of Pathology, Prasat Neurological Institute, 312 Rajvithi road, Thung phayathai, Rajthewi, Bangkok, Thailand

2Department of Neuroradiology, Prasat Neurological Institute, 312 Rajvithi road, Thung phayathai, Rajthewi, Bangkok, Thailand


American Journal of Medical Case Reports. 2017, Vol. 5 No. 2, 35-37
DOI: 10.12691/ajmcr-5-2-3
Copyright © 2017 Science and Education Publishing

Cite this paper:
Samasuk Thammachantha, Pichest Metarugcheep, Yodkhwan Wattanasen. Cholesterol Granuloma of Sphenoid Sinus: Report of a Rare Case. American Journal of Medical Case Reports. 2017; 5(2):35-37. doi: 10.12691/ajmcr-5-2-3.

Correspondence to: Samasuk  Thammachantha, Department of Pathology, Prasat Neurological Institute, 312 Rajvithi road, Thung phayathai, Rajthewi, Bangkok, Thailand. Email: shisuku175@yahoo.com

Abstract

Cholesterol granuloma is chronic inflammatory lesion of head and neck region, caused by bleeding of mucosal vessels of paranasal sinus. Histologically, the lesion shows aggregate of cholesterol crystals surrounded by foreign-body giant cell reaction. The symptoms vary depending on location of an expansile mass and Magnetic resonance imaging (MRI) are helpful in distinguish this disease from mucocoele. We present a case of cholesterol granuloma in the right sphenoid sinus of a 52-year-old man, with the oculomotor nerve dysfunction but sparing pupillary reflex.

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