Presentation
Headache
Patient Data
Age: 25 years
Gender: Female
From the case:
Extensive pneumatization of the temporal bones
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Extensive pneumatization of the temporal bones bilaterally - petrous and squamous
Case Discussion
Pneumatization of the petrous temporal bone apices is an anatomical variant. It may be symmetrical bilaterally or asymmetrical, and when asymmetrical can mimic a tumor or other pathological lesion. Extensively pneumatized petrous temporal bones (especially the apex) can be the location of benign lesions such as cholesterol granuloma and cholesteatoma.