Is That Another Thornwaldt's Cyst on M.R.I.?

Battino, R.A.

doi:10.1111/j.1440-1673.1990.tb02802.x

Cited by 24 publications

(27 citation statements)

References 13 publications

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“…It is not certain that there is a direct or indirect link between the fossa navicularis and the cyst of Tornwaldt, because no study to date backs this association [31]. Tornwaldt's cyst remains generally asymptomatic, but the larger the cyst is, the higher its risk to become symptomatic [27]. The symptoms include posterior nasopharyngeal discharge, occipital cephalalgia, halitosis, stiffness of cervical muscles and dysfunction of the Eustachian tube with a feeling of fullness in the ear.…”

Section: The Tornwaldt Cystmentioning

confidence: 97%

“…MRI signal of mucous retention cysts is usually high on T2-and low on T1-weighted images (Fig. 8) [27], but if the cyst content becomes rich in proteins, a high T1 signal may be observed (Fig. 9).…”

Section: Retentional Cyst Of the Seromucinous Glandsmentioning

confidence: 98%

“…The pharyngeal bursa is delimited by folds of the pharyngeal fornix [26]. Its wall consists of a respiratory epithelium [27]. The circumstances of the discovery of this bursa are always fortuitous.…”

Section: The Pharyngeal Bursa Of Luschkamentioning

confidence: 99%

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Imaging of nasopharyngeal cysts and bursae

Salem

Duvillard

Assous³

et al. 2006

Eur Radiol

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Cysts and bursae of the nasopharynx are uncommon and seldom symptomatic when compared with malignant tumors of this region. However, it is noteworthy that in the presence of symptoms, a good knowledge of their radiological appearance is useful to establish the correct diagnosis. Cysts of Rathke's pouch, pharyngeal bursa of Luschka, Tornwaldt's cysts, retentional cysts of the seromucinous glands, oncocytic cysts, intra-adenoid cysts, branchial cysts, prevertebral or retropharyngeal abscess and pseudocysts of the nasopharynx will be discussed in this paper.

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Section: The Tornwaldt Cystmentioning

confidence: 97%

Section: Retentional Cyst Of the Seromucinous Glandsmentioning

confidence: 98%

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Imaging of nasopharyngeal cysts and bursae

Salem

Duvillard

Assous³

et al. 2006

Eur Radiol

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“…MRI is now considered the best radiographic imaging study to diagnose the tornwaldt's cyst as the findings are highly characteristic [8]. On MRI, it may have high signal on both T1-and T2-weighted sequences, presumably because the cyst contains a high concentration of protein, or blood products from prior hemorrhage, or both [10][11][12]. Post contrast studies usually demonstrate peripheral enhancement of the nasopharyngeal mucosa [8].…”

Section: Resultsmentioning

confidence: 99%

Recent Trends in the Management of Thornwaldts cyst: A Case Report

Jyotirmay

Kumar

Preetam

et al. 2014

JCDR

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A 28-year-old man presented with nasal obstruction since 10-years. Nasal obstruction used to aggravate during episodes of cold. He also had history of episodic dull moderate occipital headache. He had no otologic symptoms like hearing difficulty, otorrhea, ear fullness etc. Neurological examination was normal.On examination, anterior rhinoscopy and otoscopic findings were normal. Diganostic nasal endoscopy using 0 0 rigid endoscope [Table/ Fig-1] showed a large well encapsulated lesion arising from the posterior wall of the nasopharynx which was covered by smooth mucosa. The lesion was oval shaped, non tender and immobile. Magnetic resonance imaging (MRI) [Table/ Fig-2] showed a welldefined oval thick fluid filled cystic lesion measuring 2.2 x 1.6 cm attached to roof of nasopharynx. The lesion was hyperintense on T 1 W images and hypointense on T2 W images.The patient underwent successful marsupialisation using endonasal endoscopic approach using rigid endoscopes and powered instrumentation. Cheesy material was aspirated from the cyst. Histopathology revealed a respiratory lined epithelial cyst. Based on the clinical, radiological and histopathological findings a diagnosis of Tornwaldt's cyst was made. The patient was relieved of nasal obstruction and headache following surgery. The patient was on a regular followup till two years and was symptom free. DisCussionTornwaldt's cyst is a benign developmental nasopharyngeal midline cyst covered by mucosa anteriorly and bounded by longus muscles posteriorly. It was first noted by Mayer in 1840 in autopsy specimens [1]. It was established as a pathologic entity by Tornwaldt in 1885 [2]. It is also known as Nasopharyngeal bursa, Pharyngeal bursa or Thornwaldt cyst. Huber later described how irregular notochord regression in the sixth week of gestation leads to its formation [3]. Tornwaldt's cyst may be totally asymptomatic or can have a myriad of presentations. We present a case of Tornwaldt's cyst who presented with nasal obstruction which was successfully managed ear, nose and throat Section Tornwaldt's cyst is a benign cyst located in the upper posterior nasopharynx. It is a relatively rare lesion and most are small and asymptomatic whereas some cause nasal obstruction, postnasal drip, occipital headache or eustachian tube dysfunction. In our case a 28-year-old man presented with nasal obstruction since 10-years whose diagnostic nasal endoscopy showed a large well-encapsulated lesion arising from the posterior wall of the nasopharynx. A magnetic resonance imaging (MRI) was performed which was suggestive of a fluid filled cystic lesion. The patient underwent successful marsupialisation using endonasal endoscopic approach using rigid endoscopes and powered instrumentation. Histopathology of the aspirate revealed a respiratory lined epithelial cyst. Based on the clinical, radiological and histopathological findings a diagnosis of Tornwaldt's cyst was made. We report this case to highlight the role of MRI in diagnosis and use of endoscopic assisted powered instrumentatio...

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“…MRI of the nasopharynx is a sensitive method for detecting and evaluating cystic lesions of the nasopharynx (8,9). The lesion usually has a characteristic high signal intensity on T2-weighted and intermediate to high signal intensity on T1-weighted MRI imaging (10,11). The variation in signal intensity on T1-weighted images may be related to differences in protein content or hemorrhage in the cyst (12).They are variable in size, ranging from a few millimetres to a few centimetres in diameter, but are typically 2 -10mm in size (12,4).…”

Section: Radiographic Featuresmentioning

confidence: 99%