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Sclerotic Lesion in the Right Sphenoid Wings

Roland G. Ware, MD
JAMA. 1966;195(3):210-211. doi:10.1001/jama.1966.03100030104029.
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Dr. Bruce J. Haskin: A 23-year-old woman was admitted for evaluation of right exophthalmos. During the five months before admission she had noted progressive discomfort behind her right eye. Protrusion of the eye developed with intermittent blurring of vision. She was seven months pregnant.

Except for the enlarged uterus and the proptosis, the results of her general physical examination were unremarkable. There was blurring of the right nasal disk margin, but the visual fields were full. The remainder of the neurological examination was within normal limits.

The roentgenographic examination of the skull (Figure) showed marked sclerosis of the greater wing of the right sphenoid and moderate sclerosis of the lesser sphenoid wing. There was narrowing of the right superior orbital fissure. It was thought that the lambdoid suture and the convolutional impressions were prominent, raising the question of increased intracranial pressure.

Discussion  Dr. Laurence L. Robbins: Dr. Dreyfuss, what are

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