case_images: PMC3667462_01
case_images: Preop status showing bilateral proptosis (left > right) with widened nasal bridge. Extensive conjunctival chemosis on the left side with exposure kearatitis
case_images: AJNS-8-51-g001.jpg
case_images: PMC3667462_01_AJNS-8-51-g001.jpg
case_images: F1
case_images: Examination revealed bilateral severe proptosis with conjunctival chemosis and complete ophthalmoplegia in left and partial in right eye [Figure 1].
case_images: (a) Axial, (b) sagittal and (c) coronal sections of CT brain contrast study showing well enhancing lesion in basifrontal region extending through the ethmoid sinuses into bilateral nasal cavities, orbits, and maxillary sinuses
case_images: AJNS-8-51-g002.jpg
case_images: PMC3667462_01_AJNS-8-51-g002.jpg
case_images: F2
case_images: It was enhancing homogenously on contrast [Figure 2].
case_images: Postop status with resolved proptosis and mild decrease in the width of nasal bridge
case_images: AJNS-8-51-g003.jpg
case_images: PMC3667462_01_AJNS-8-51-g003.jpg
case_images: F3
case_images: Postoperatively, proptosis decreased dramatically [Figure 3] and visual acuity improved to finger counting at 4 metres in right eye with perception of light in left eye.
case_images: Postop CT scan (a) sagittal and (b) coronal sections showing no significant residual tumor. (c) Axial sections at the level of greater wing of sphenoid showing minimal edema of the bilateral basifrontal regions
case_images: AJNS-8-51-g004.jpg
case_images: PMC3667462_01_AJNS-8-51-g004.jpg
case_images: F4
case_images: Patient was doing well at follow up of 11months and there was no apparent clinical or radiological [Figure 4] evidence of local recurrence or systemic metastasis (No hot spot on bone scan).