Arrested pneumatization of the skull base

Case contributed by Dr Prashant Gupta


MRI requested for non specific headache

Patient Data

Age: 65-70 years
Gender: Female

Case Discussion

The MRI showed prominent fat signal from basi-sphenoid. although no expansion was seen an NCCT was done which showed fatty marrow interspersed with curvilinear bony trabeculae. No expansion was seen and cranial foramina were of normal caliber. the sphenoid sinus was not pneumatized.

these findings are consistent with Arrested pneumatization of the skull base

differential diagnoses include- fibrous dysplasia (expansile, ground glass matrix), skull base osteomyelitis or chordoma (destructive)

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.