Sphenoidal pneumosinus dilatans due to anterior skull base meningiomas - CT and MRI aspects: Report of two new cases and literature review

Assunta Scuotto; Dario Saracino; Michele Rotondo; Andrea Izzo; Fabrizio Urraro; Salvatore Cappabianca; Simone Sampaolo

doi:10.1177/1971400916648336

Sphenoidal pneumosinus dilatans due to anterior skull base meningiomas - CT and MRI aspects: Report of two new cases and literature review

Neuroradiol J. 2016 Aug;29(4):295-7. doi: 10.1177/1971400916648336. Epub 2016 May 24.

Authors

Assunta Scuotto¹, Dario Saracino², Michele Rotondo³, Andrea Izzo¹, Fabrizio Urraro¹, Salvatore Cappabianca⁴, Simone Sampaolo²

Affiliations

¹ Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Italy.
² Second Division of Neurology, Second University of Naples, Italy.
³ Department of Neuroscience, Second University of Naples, Italy.
⁴ Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Italy salvatore.cappabianca@unina2.it.

Abstract

We report on two patients disclosing a pneumosinus dilatans (PSD) and an anterior skull base meningioma. Our findings, together with those from the pertinent literature, support the thought that this infrequent anomaly of paranasal sinuses is a useful clue to suspect a concomitant meningioma. Moreover, hypotheses concerning the pathophysiology of PSD are discussed.

Keywords: Pneumosinus dilatans; computed tomography; magnetic resonance imaging; skull base meningiomas.

Publication types

Case Reports
Review

MeSH terms

Dilatation, Pathologic / diagnostic imaging
Dilatation, Pathologic / etiology
Female
Humans
Magnetic Resonance Imaging*
Male
Meningeal Neoplasms* / complications
Meningeal Neoplasms* / diagnostic imaging
Meningeal Neoplasms* / pathology
Meningioma* / complications
Meningioma* / diagnostic imaging
Meningioma* / pathology
Middle Aged
Paranasal Sinuses / diagnostic imaging
Paranasal Sinuses / pathology*
Skull Base Neoplasms / complications*
Skull Base Neoplasms / diagnostic imaging
Tomography, X-Ray Computed*