Document Detail

Extraorbital pseudotumor of the petrous apex: Biopsy via a transnasal endoscopic approach.
MedLine Citation:
PMID:  22522366     Owner:  NLM     Status:  In-Data-Review    
Extraorbital idiopathic pseudotumors of the skull base are very uncommon. We report the case of a 50-year-old woman who presented with left ophthalmoplegia and vision loss. Imaging studies revealed an enhancing lesion involving the left petrous apex and cavernous sinus. A transnasal endoscopic approach was used to obtain a biopsy of the left petrous apex. Pathology identified the lesion as an idiopathic pseudotumor. The patient was treated with high-dose steroids and steroid-sparing immunomodulators, and she experienced a significant improvement. To the best of our knowledge, this is the first reported case of a transnasal endoscopic approach to a biopsy of a pseudotumor involving the petrous apex. We discuss the features of this case, and we review the literature on this condition.
Jeffrey J Nelson; Parul Goyal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  91     ISSN:  1942-7522     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E6-9     Citation Subset:  IM    
Jordan Valley Medical Center, 3584 W. 9000 South, Suite 311, West Jordan, UT 84088, USA.
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