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Journal of Korean Neurosurgical Society 1986;15(4): 699-708.
Diagnosed and Treatment of Sphenoid Sinus Mucoceles with Intracranial Extension.
Chun Kee Chung, Kyu Chang Wang, Sun Ho Lee, Dong Gyu Kim, Hee Won Jung, Jong Hyun Kim, Byung Kyu Cho, Je G Chi, Kil Soo Choi
1Department of Neurosurgery, College of Medicine, Seoul National Universit, Korea.
2Department of Pathology, College of Medicine, Seoul National Universit, Korea.
ABSTRACT
Sphenoid sinus mucocele with the intracranial extension is a rare disease but should be included in the differential diagnosis of destructive changes of the sella turcica, since a seemingly harmful intracranial procedure may be attempted. With the use of CT scan and MRI, it can be diagnosed preoperatively with a much better accuracy. Three histologically-verified cases of sphenoid mucocele with intracranial extension developing headache, visual disturbance and/or amenorrhea are described with a review of the literatures. All cases were successfully operated upon by the intranasal procedure.
Key Words: Sphenoid mucocele; Intracranial extension; CT; MRI; Sellar destruction
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