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Aplasia of the maxillary sinus and hypoplasia are rare conditions that can trigger symptoms such as headaches and altered speech. Most patients are asymptomatic, but given the role of these symptoms in the differential diagnoses for neoplasms and infection, such symptoms warrant investigating. We
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A 43-year-old man presented with a nontraumatic orthostatic headache, spatial disorientation, and visual hallucinations ("colored flames"). General and neurologic examination were normal. Turbo spin echo T2-weighted MRI showed bilateral subdural fluid collection and venous sinus engorgement (figure,
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