Sphenoid sinus mucocele masquerading as a skull base malignancy

Mark J. Shikowitz, Mark N. Goldstein, Arsen Stegnjajic

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Mucoceles of the sphenoid sinus arc rare. Only occasional reports have appeared in the medical literature since they were first described by Berg in 1889. The sphenoid sinus lies deep within the skull at the crossroads of 13 sensitive structures. The presence of a sphenoid sinus mucocele may be accompanied by a wide variety of signs and symptoms depending upon which of these structures are involved. The majority of these lesions are initially misdiagnosed as malignancies leading to increased patient morbidity and possible mismanagement. We present two cases of sphenoid sinus mucoceles which presented with a variety of neurological signs and symptoms. The radiographic findings were felt to be consistent with skull base malignancies. The diagnosis was corrected only after surgical exploration of the sphenoid sinus revealed a mucocele.

Original languageEnglish (US)
Pages (from-to)1405-1410
Number of pages6
Issue number12
StatePublished - Dec 1986
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology


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