Tornwaldt cyst

Case contributed by Dr Mohamed Hossam el Deen

Presentation

Headache, fever for two days.

Patient Data

Age: 10 years
Gender: Female
Modality: MRI

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. 

PlayAdd to Share

Case Information

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

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.