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December 16, 1968

Destroyed Sphenoidal Sinus

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

JAMA. 1968;206(12):2732-2733. doi:10.1001/jama.1968.03150120066019

Dr. Milton A. Weiner: The patient, a 30-year-old Oriental man, came to the Massachusetts General Hospital with a six-week history of headaches on the left side, pressure sensation over the left orbit, and decreasing vision in both eyes. Physical examination revealed bilateral visual field loss and diminished hearing on the left. The remainder of the cranial nerves were intact, and no motor or sensory abnormalities were noted. The patient was afebrile and had a white blood cell count of 5,850/ cu mm, with a normal differential count. Results of all other laboratory studies were normal. Roentgenograms of the skull were obtained.

Discussion  Dr. Laurence L. Robbins: Dr. New, would you interpret these roentgenograms?Dr. Paul F. J. New: The lateral, posteroanterior (Figure, top, center), and basal views show destruction of sphenoid and ethmoid areas. There is undercutting of the anterior clinoid processes with erosion of their inferior aspects and loss