Objective: Explore the indications and advantages of image-guided transsphenoidal endoscopic drainage of select petrous apex cholesterol granulomas.
Study design: Case report and literature review.
Setting: Tertiary referral center.
Conclusions: Image-guided endoscopic transsphenoidal drainage of cholesterol granulomas is the procedure of choice for petrous apex cholesterol granulomas that abut the sphenoid sinus and are accessible through its posterior wall.