Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies
Introduction: The sphenoid sinus is often neglected because of its difficult access. The deep position of the sphenoid sinus hinders early diagnosis of pathologies in that location. Delayed diagnosis can cause serious complications due to proximity to many important structures. Objectives: The aim o...
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.193540 |
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doaj-2f5188c1e4834e9c98dd7200993087cb2021-04-02T11:57:37ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552017-01-01080110711310.4103/0976-3147.193540Isolated Sphenoid Sinus Lesions: Experience with a Few Rare PathologiesNishanth Sadashiva0B. N. Nandeesh1Dhaval Shukla2Dhananjaya Bhat3Sampath Somanna4Bhagavatula Indira Devi5Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Neuropathology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaIntroduction: The sphenoid sinus is often neglected because of its difficult access. The deep position of the sphenoid sinus hinders early diagnosis of pathologies in that location. Delayed diagnosis can cause serious complications due to proximity to many important structures. Objectives: The aim of this study is to demonstrate different pathologies which can affect the sphenoid sinus and elucidate the findings. Methods: Cases of isolated sphenoid sinus lesions encountered in the neurosurgical setting which had rare pathologies are discussed. Pathologies such as Langerhans cell histiocytosis, solitary plasmacytoma, chordoma, pituitary adenoma, leiomyosarcoma, fungal infection, and mucocele which appeared primarily in sphenoid sinus are discussed along with their imaging features and pathological findings. Conclusion: Multitude of different pathologies can occur in sphenoid sinus. Detailed preoperative imaging is very helpful, but transnasal biopsy and histological study are required often for definitive diagnosis. The possible advantages of early diagnosis before spread of pathology for prognosis cannot be overemphasized.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.193540 chordoma langerhans cell histiocytosis leiomyosarcoma mucocele pituitary adenoma plasmacytoma sphenoid sinus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nishanth Sadashiva B. N. Nandeesh Dhaval Shukla Dhananjaya Bhat Sampath Somanna Bhagavatula Indira Devi |
spellingShingle |
Nishanth Sadashiva B. N. Nandeesh Dhaval Shukla Dhananjaya Bhat Sampath Somanna Bhagavatula Indira Devi Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies Journal of Neurosciences in Rural Practice chordoma langerhans cell histiocytosis leiomyosarcoma mucocele pituitary adenoma plasmacytoma sphenoid sinus |
author_facet |
Nishanth Sadashiva B. N. Nandeesh Dhaval Shukla Dhananjaya Bhat Sampath Somanna Bhagavatula Indira Devi |
author_sort |
Nishanth Sadashiva |
title |
Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies |
title_short |
Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies |
title_full |
Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies |
title_fullStr |
Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies |
title_full_unstemmed |
Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies |
title_sort |
isolated sphenoid sinus lesions: experience with a few rare pathologies |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Journal of Neurosciences in Rural Practice |
issn |
0976-3147 0976-3155 |
publishDate |
2017-01-01 |
description |
Introduction: The sphenoid sinus is often neglected because of its difficult access. The deep position of the sphenoid sinus hinders early diagnosis of pathologies in that location. Delayed diagnosis can cause serious complications due to proximity to many important structures. Objectives: The aim of this study is to demonstrate different pathologies which can affect the sphenoid sinus and elucidate the findings. Methods: Cases of isolated sphenoid sinus lesions encountered in the neurosurgical setting which had rare pathologies are discussed. Pathologies such as Langerhans cell histiocytosis, solitary plasmacytoma, chordoma, pituitary adenoma, leiomyosarcoma, fungal infection, and mucocele which appeared primarily in sphenoid sinus are discussed along with their imaging features and pathological findings. Conclusion: Multitude of different pathologies can occur in sphenoid sinus. Detailed preoperative imaging is very helpful, but transnasal biopsy and histological study are required often for definitive diagnosis. The possible advantages of early diagnosis before spread of pathology for prognosis cannot be overemphasized. |
topic |
chordoma langerhans cell histiocytosis leiomyosarcoma mucocele pituitary adenoma plasmacytoma sphenoid sinus |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.193540 |
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