Tumor in the chiasmo-sellar region of a patient with fibrotic dysplasia: practice of an otorhinolaryngologist (case report)

Abstract

Cerebral tumors at their onset are asymptomatic or manifest in minor nonspecific signs. Nosebleed is considered one of the most common types of ENT emergency, a manifestation of brain tumors and postoperative complications. The article presents a case of a 35-year-old male patient who visited an otorhinolaryngologist with complaints of nosebleeds. Anamnesis showed that the patient had previously undergone transsphenoidal tumor resection due to the tumor in the chiasmo-sellar region detected by computed tomography (CT). Tumor nature at that moment could not be established due to intraoperative hemorrhage. CT angiography was performed to clarify the nature of hemorrhage, which revealed multiple brain arteriovenous malformations. CT also revealed a pattern of the patient: the diffuse bone lesion of the skull and facial skeleton, characteristic of fibrous dysplasia, which was first diagnosed at the age of 12. The article discusses further tactics of patient management with recurrent nosebleeds and breathing difficulties, taking into account a multidisciplinary approach. KEYWORDS: arteriovenous malformations, nasal septal perforation, tumor of the chiasmo-cellular region, ethmoidal air cells, fibrous dysplasia, biopsy. FOR CITATION: Khapaeva M.M., Zhuboev R.T., Khakuasheva I.A. Tumor in the chiasmo-sellar region of a patient with fibrotic dysplasia: practice of an otorhinolaryngologist (case report). Russian Medical Inquiry. 2023;7(8). (in Russ.). DOI: 10.32364/2587-6821-2023- 7-8-10.