Pediatric sinusitis complicated by skull base osteomyelitis and neurovascular narrowing-two cases and literature review.

Central skull base osteomyelitis with sellar epidural abscess and neurovascular narrowing are a unique combination of imaging findings resulting from complicated acute paranasal sinusitis. Nonspecific clinical presentation and insidious onset with atypical initial imaging findings often pose a diagnostic challenge. We present two cases of acute sinusitis, which progressed to central skull base osteomyelitis and additional intracranial complications. Maintaining a high index of suspicion and a multidisciplinary approach during preoperative workup are essential for timely management.