title: Nasopharyngeal Mass Diagnosed as Transsphenoidal Encephalocele in an Adult Patient.
abstract: Transsphenoidal encephalocele, a rare congenital malformation, is generally diagnosed during childhood when investigating the reason for complaints such as nasal obstruction and recurring cerebrospinal fluid fistula. In this adult patient, the authors identified an asymptomatic transsphenoidal encephalocele after requested monitoring of a pedunculated mass detected in the nasopharynx during nasal endoscopy. After evaluation, the authors decided to follow the patient. Few cases of transsphenoidal encephalocele have been reported, and even fewer have been reported in older patients, with no other anomaly or symptoms. The success of surgical treatment for these masses is debatable. The authors did not consider surgery for this asymptomatic case. With this case presentation, the authors wish to emphasize that without making radiologic assessments of any masses identified in a nasopharyngeal examination, it would be inappropriate to perform a biopsy or any intervention.
authors.affiliation: *Department of Otorhinolaryngology, Acibadem University, Medical School †Department of Otorhinolaryngology, Koc University, Medical School, Istanbul, Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Ertas
authors.forename: Elif Ayanoglu
authors.initials: EA
authors.lastname: Aksoy
authors.forename: Omer Faruk
authors.initials: OF
authors.lastname: Unal
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004677:Encephalocele / Q000175:diagnosis*; D004724:Endoscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D015508:Nasal Obstruction / Q000175:diagnosis; D009305:Nasopharynx / Q000473:pathology*; D010608:Pharyngeal Diseases / Q000175:diagnosis*; D012658:Sella Turcica / Q000000981:diagnostic imaging / Q000473:pathology; D013100:Sphenoid Bone / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods