C holesterol granuloma (CG) of the petrous apex (PA) may be asymptomatic or enlarge to cause symptoms from compression of neural and vascular structures within the temporal bone. Surgical decompression may then be indicated. We present a case of PA-CG where the feasibility of decompression with a minimally invasive permeatal infracochlear approach was first assessed through 3dimensional imaging...

A-72-year-old man admitted with the complaint of mild right facial numbness and headache. His neurological examination revealed facial paresthesia on the right over the distribution of second division of the trigeminal nerve. Computed tomographic and magnetic resonance imaging showed an expansive lesion in the right petrous apex. The patient underwent surgery via right suboccipital retrosigmoid...

A 43years old man presented with 6 month history of intermittent right hemicranial headache and ipsilateral conductive hearingloss. The patient had no historyof head trauma. The MRI demonstrated a large and expansile right petrous apex lesion hyper intense on both T1and T2-weighted scans, without diffusion restriction or internal contrast enhancement. The CT scan showed and expansile and lyticl...

Background: Cholesterol granuloma (CG) commonly occurs in the petrous apex; their occurrence anterior cranial fossa CGs is rare. Subfrontal approaches are conventional surgical for resection of midline lesions and frontal sinuses. In this article, we describe a successful minimally invasive approach small CG. Methods: We report rare case air sinus CG extending intradurally through foramen caecu...

Submit Manuscript | http://medcraveonline.com characterized for having a cystic pattern containing cholesterol crystals that are usually surrounded by foreign body giant cells. Their growing pattern is very variable and it is related to the frequency and severity of the micro hemorrhages happening within. It can be found in different locations in the temporal bone such as in the petrous apex (P...

AIM To report a case of a non-neoplastic variant of calcifying odontogenic cyst (COC) with the lining epithelium showing ameloblastomatous proliferation and capsule exhibiting features of a cholesterol granuloma. The importance of delineating this histologic variant from unicystic ameloblastoma and the formation of cholesterol granuloma in this variant is discussed. BACKGROUND Calcifying odon...

Cholesterol granuloma (CG) is usually associated with chronic middle ear disease, and is not common in the paranasal sinuses. Additionally, it is very rare for cases of CG to be associated with a fungal infection. However, in this paper, we report a case of sphenoid sinus CG that is associated with aspergilloma in a 78-year-old male patient who presented with right hemifacial pain, headache and...

Otitis media (OM) is an infection localized in the middle ear: mastoid, middle ear cavity, Eustachian tube. The classification of OM includes otitis media with effusion, otitis media without effusion, and chronic otitis media. A rare complication of chronic otitis is cholesterol granuloma of the petrous apex. It may develop in any aerated portion of the temporal bone but most commonly develops ...