PT  - JOURNAL ARTICLE
AU  - Manon Doucet
AU  - Daniel Farishta
AU  - Jehan Abdulsattar
AU  - Michael Yim
TI  - Sphenoid sinus cholesterol granulomas presenting with abducens nerve palsy
AID  - 10.1136/bcr-2021-243020
DP  - 2022 May 01
TA  - BMJ Case Reports
PG  - e243020
VI  - 15
IP  - 5
4099  - http://casereports.bmj.com/content/15/5/e243020.short
4100  - http://casereports.bmj.com/content/15/5/e243020.full
SO  - BMJ Case Reports2022 May 01; 15
AB  - We discuss two patients who presented with sphenoid sinus cholesterol granulomas and associated unilateral abducens nerve palsies. Two case reports from our institution are reported. A literature review of available articles is presented, discussing both cholesterol granulomas of the sphenoid sinus and sphenoid sinus lesions that present with unilateral abducens palsy. A total of nine cases of sphenoid sinus cholesterol granulomas have been previously reported in the literature. A wide variety of sphenoid sinus pathologies can present with unilateral abducens nerve palsies, however no sphenoid sinus cholesterol granulomas with this presentation were found in the literature. In conclusion, cholesterol granulomas should be included in the differential when a patient presents with an expansile mass of the sphenoid sinus and associated unilateral abducens nerve palsy.