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Pathology Quiz Case 2
Pamela Reed Kearney, MD;
Aziza Nasser, MD
George Washington University, Washington, DC
Arch Otolaryngol Head Neck Surg. 2002;128:76-79.
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THE OTOLARYNGOLOGY–HEAD AND NECK surgery service was consulted
regarding an incidental finding on a 24-year-old Liberian man with a history
of  -thalassemia minor. He had been admitted to the neurology service
for continuation of a spinal cord compression workup. Three weeks before he
was transferred, he had been involved in a motor vehicle crash and subsequently
developed progressive weakness in his lower extremities, along with urinary
retention and constipation. He had no otolaryngological complaints. The results
of his head and neck examination were normal. Hematology consultation and
testing later proved that the patient had -thalassemia major rather
than -thalassemia minor.
A magnetic resonance imaging scan of the spine showed multiple epidural
masses from T5-T10 and L5-S1, with cord compression. During the workup of
the paraparesis, a magnetic resonance imaging scan of the head revealed masses
in the maxillary and sphenoidal sinuses that resembled . . . [Full Text of this Article]
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