Advanced nasopharyngeal angiofibroma in an adult resulting in an intracranial cyst

Abstract

Juvenile nasopharyngeal angiofibromas (JNAs) are benign lesions which arise from vascular pedicles in the nasal cavity and are almost exclusively found in adolescent males. Herein we describe a case of a 31-year-old patient presenting with altered mental status who was found to have a JNA emanating from the right SPA but with multiple solid components and an intracranial cyst. After pre-operative embolization, the patient was taken to the operating room for endoscopic resection and drainage of the intracranial cyst. His post-operative course was uncomplicated without any evidence of a CSF leak and with marked improvement in his mental status.