目的 :报告孤立性蝶窦病变的罕见症状 ,以减少对该病的误诊。方法 :回顾 2例患者的误诊、诊断和治疗过程 ,分析本病罕见症状的发生原因。结果 :患者的主要临床表现三叉神经痛和癫痫症状 ,均由蝶窦疾患引起并随着原发疾患的治愈而痊愈。结论 :孤立性蝶窦病变除了可有头痛、视力下降和颅神经瘫痪等症状外 ,还可有三叉神经痛、癫痫等罕见症状 OBJECTIVE: To report rare symptoms of isolated sphenoid sinus lesions to reduce misdiagnosis of the disease. Methods: The misdiagnosis, diagnosis and treatment of 2 patients were reviewed, and the causes of the rare symptoms of this disease were analyzed. RESULTS: The main clinical manifestations of the patient were trigeminal neuralgia and epilepsy, both caused by sphenoid sinus disorders and healed as the primary condition was cured. Conclusion: Solitary sphenoid sinus lesions in addition to headache, decreased vision and cranial nerve paralysis and other symptoms, but also may have trigeminal neuralgia, epilepsy and other rare symptoms