Sadashiva Nishanth, Nandeesh B N, Shukla Dhaval, Bhat Dhananjaya, Somanna Sampath, Devi Bhagavatula Indira
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
J Neurosci Rural Pract. 2017 Jan-Mar;8(1):107-113. doi: 10.4103/0976-3147.193540.
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.
The aim of this study is to demonstrate different pathologies which can affect the sphenoid sinus and elucidate the findings.
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.
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.
蝶窦因其难以触及而常被忽视。蝶窦的深部位置阻碍了该部位病变的早期诊断。由于其靠近许多重要结构，诊断延迟可能导致严重并发症。
本研究旨在展示可影响蝶窦的不同病变并阐明其发现。
讨论神经外科手术中遇到的孤立性蝶窦病变且具有罕见病理的病例。讨论主要出现在蝶窦的病变，如朗格汉斯细胞组织细胞增多症、孤立性浆细胞瘤、脊索瘤、垂体腺瘤、平滑肌肉瘤、真菌感染和黏液囊肿，以及它们的影像学特征和病理结果。
蝶窦可发生多种不同病变。详细的术前影像学检查非常有帮助，但通常需要经鼻活检和组织学研究才能明确诊断。对于预后而言，在病变扩散前早期诊断的可能优势再怎么强调都不为过。
