Headache, fever for two days.
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Two midline cystic structures are seen between the longus colli muscles and adenoid glands.
Mucosal thickening of the right sphenoid sinus.
A small pineal cyst is also present.
Tornwaldt cysts are benign nasopharyngeal mucosal lesions, representing a notochord remnant, that are almost always discovered incidentally on MR or CT. The peak incidence ranges from 15 to 60 years, although the current patient presented at 10 years of age.
If there are symptoms marsupialisation surgery is used as treatment.
In this instance a small pineal cyst is also present.
- 1. Ikushima I, Korogi Y, Makita O et-al. MR imaging of Tornwaldt's cysts. AJR Am J Roentgenol. 1999;172 (6): 1663-5. AJR Am J Roentgenol (abstract) - Pubmed citation
- 2. Moody MW, Chi DH, Chi DM et-al. Tornwaldt's cyst: incidence and a case report. Ear Nose Throat J. 2007;86 (1): 45-7, 52. Pubmed citation