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Aneurysmal bone cyst (ABC) is a benign osteolytic bony lesion that can be locally destructive. The skull base is an uncommon location for this tumor with a reported incidence of 3 to 6%. In the literature, we found only 11 cases of skull base ABC reported till 2010, with only 2 involving the posterior cranial fossa skull base. This is the first case involving both the middle and posterior cranial fossa skull base reported till date.

An Unusual Case of Aneurysmal Bone Cyst Involving Both Middle and Posterior Fossa Skull Base