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Andrew W. Miglets, MD; Laura Rood, MD; Joel G. Lucas, MD

Arch Otolaryngol. 1983;109(6):417-419.

Abstract
• A 68-year-old man had memory lapse, character change, and unsteady gait. Skull films disclosed a spontaneous pneumocephalus with air in both ventricles. A dense, bony lesion in the right ethmoid area was thought to be an osteoma, a not infrequent cause of dural erosion. The bony lesion, however, proved to be an osteoid reaction around a primary neurilemoma. Neurilemomas arising in the paranasal sinuses are uncommon tumors and, to the best of our knowledge, this is the first reported case of a patient with a neurilemoma who had pneumocephalus. The lesion was excised through a Lynch approach, and the patient has remained free of tumor for the past two years.

(Arch Otolaryngol 1983;109:417-419)

Author Affiliations
From the Departments of Otorhinolaryngology (Drs Miglets and Rood) and Pathology (Dr Lucas), Ohio State University College of Medicine, Columbus.

Footnotes
Accepted for publication June 25, 1982.

Reprint requests to 456 Clinic Dr, Room 4118, Columbus, OH 43210 (Dr Miglets).

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