Radiology Case Reports (Mar 2024)

Pneumosinus dilatans with shift of midline intracranial structures: A case report

  • Leila Haddar, MD,
  • Ibtissem Guemmi, MD,
  • Khaoula Oukrid, MD,
  • Imad Eddine Hamdi, MD,
  • Tayeb Bouamama, MD,
  • Karim Haddar, MD,
  • Asmae Kasimi, MD,
  • Mahdi Samet, MD,
  • Mohammed Leknani, MD,
  • Siham Nasri, MD,
  • Imane Kamaoui, MD,
  • Imane Skiker, MD

Journal volume & issue
Vol. 19, no. 3
pp. 1031 – 1034

Abstract

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Pneumosinus dilatans (PSD) is an abnormal dilatation and enlargement of one or more paranasal sinuses, extending beyond the anatomic bony boundaries, without defect or thinning of its bony walls. It is documented by only a few reports. Usually asymptomatic, it is in general found incidentally on imaging. It is important for radiologists to recognize the diagnosis and rule out eventual associated conditions such as meningiomas, orbital tumors, arachnoid cysts, and fibrous dysplasia. We report the case of PSD diagnosed incidentally in a 51-year-old female patient who presented to the emergency department with confusion.

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