Tornwaldt cyst

Case contributed by Dr Mohamed Hossam el Deen


Headache, fever for two days.

Patient Data

Age: 10 years
Gender: Female

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. 

Case Discussion

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. 

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Case information

rID: 47823
Published: 4th Sep 2016
Last edited: 26th Sep 2016
Inclusion in quiz mode: Included

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