Frontal mucocele

Case contributed by Dr Rayyan Mardhiyah

Presentation

History of alleged fall and syncopal attack with 2 months history of recurrent vomiting.

Patient Data

Age: 50 years
Gender: Male
CT

A bilobulated heterogenous hyperdense extra-axial lesion ( evidence of CSF cleft) with peripheral rim calcifications seen at bi-frontal parasagittal region. The orbital roof, bilateral medial orbital walls and nasal septum are thinned out.

MRI

There are large expansile bi-fronto-ethmoidal sinuses masses which show homogenous intermediate signal intensity on T1W and T2W images with peripheral enhancement on post-contrast study. There is a mass effect with CSF cleft at both frontal region however no associated perilesional brain edema. The mass extends until superior part of both orbits. Optic nerves are preserved. 

Case Discussion

The patient had a bi-frontal craniotomy and excision of mucocele. Histopathological examination shows infected mucocele.

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Case information

rID: 83087
Published: 23rd Dec 2020
Last edited: 20th Jan 2021
Inclusion in quiz mode: Included
Institution: Kkm

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