Sir, Sphenoclival tuberculosis without involvement of cranio-vertebral junction is quite rare and only two cases have been reported. Herein, we report the third case. A 20-year-old male presented with headache, double vision, vomiting and evening rise of temperature of one month duration. Neurologic examination revealed only left sixth nerve palsy and normal ocular fundii. Brain computer tomography (CT) showed lesion in the sphenoid sinus with clivus destruction and minimal heterogenous contrast enhancement and intact cranio-vertebral junction [Figure 1a-d]. Magnetic resonance imaging (MRI) showed heterogeneous lesion involving the sphenoid sinus, posterior ethmoids and the clivus, isointense on T1W, and iso to hyperintense on T2W images. Contrast imaging could not be done because of affordablity [Figure 2].
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