Presentation
Headache, fever for two days.
Patient Data
Age: 10 years
Gender: Female
From the case:
Tornwaldt cyst
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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.
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 marsupialization surgery is used as treatment.
In this instance, a small pineal cyst is also present.
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