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A wide variety of sphenoid sinus pathologies can present with unilateral abducens nerve palsies, however no sphenoid sinus cholesterol granulomas with this presentation were found in the literature. In conclusion, cholesterol granulomas should be included in the differential when a patient presents with an expansile mass of the sphenoid sinus and associated unilateral abducens nerve palsy.<\/jats:p>","DOI":"10.1136\/bcr-2021-243020","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T12:53:45Z","timestamp":1653310425000},"page":"e243020","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Sphenoid sinus cholesterol granulomas presenting with abducens nerve palsy"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0197-4160","authenticated-orcid":false,"given":"Manon","family":"Doucet","sequence":"first","affiliation":[{"name":"Otolaryngology, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9490-7049","authenticated-orcid":false,"given":"Daniel","family":"Farishta","sequence":"additional","affiliation":[{"name":"Otolaryngology, LSU Health Shreveport, Shreveport, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jehan","family":"Abdulsattar","sequence":"additional","affiliation":[{"name":"Pathology, LSU Health Shreveport, Shreveport, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Yim","sequence":"additional","affiliation":[{"name":"Otolaryngology, LSU Health Shreveport, Shreveport, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,5,10]]},"reference":[{"key":"2025082723021228000_15.5.e243020.1","unstructured":"Chen B-N , Wang Y-P . 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