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Departments of Neurosurgery Gülhane Military Medical Academy Ankara TÜRKİYE A case of mucocele of the sphenoid sinus that presented with sellar and parasellar extension is reported. This rare entity should be considered in the differential diagnosis of lesions causing destruction of the sellar floor even if there is lack of historical or radiographic evidence of primary paranasal sinus disease. CT has greatly aided the demonstration of the mass but a correct differential diagnosis may have to be made in conjunction with a radiologist. Transsphenoidal approach is the procedure of choice, since there exist dreadful complications of craniotomy. Keywords : Mucocele, Sphenoid sinus, Transsphenoidal surgery