1病例报告患者,男,39岁,以反复头痛4年为主诉来我科就诊。该患者4年来无明显诱因出现反复头痛,呈间断性,为闷胀痛,以晨起与午后疼痛明显,无鼻塞,无脓涕、清水样涕及涕中带血,无经常性鼻出血,无嗅觉减退,无复视及视力下降。患者曾于外院神经内科行对症治疗,但效果不佳,因行鼻窦CT示蝶窦占位(考虑蝶窦囊肿)而收治于我院耳鼻咽喉科。既往体健,无不良嗜好。入院查体:生命体 1 case report patients, male, 39 years old, with repeated headache for 4 years mainly complained to our department. The patient had no obvious incentive for 4 years, repeated headache, intermittent, boredom pain, morning and afternoon pain was clear, no stuffy nose, no purulent nasal discharge, clear water and runny nose in the runny nose, no recurrent nosebleeds, No sense of smell, no diplopia and decreased vision. Patients had symptomatic treatment of neurology in the outer hospital line, but the effect is poor, due to sinus CT showed sinus spine space (consider sphenoid cysts) and admitted to our hospital ENT. Past physical health, no bad habits. Admission examination: life body