====== Cameroon ====== A 43-years-old female was referred to us by a neurologist for chronic [[headache]] and visual disturbances. The pain was unresponsive to analgesics. Physical examination was non-remarkable and a head CT scan realized showed a cyst-like lesion in the [[sphenoid sinus]] cavity. Surgical endoscopic treatment was proposed and realized with basic endoscopic [[instrument]]s, consisting of opening the cavity with drainage of the [[mucocele]]. A large opening was made on the anterior wall of the [[sphenoid sinus]], in order to ensure continuous drainage and prevent a recurrence. [[Sphenoid sinus mucocele]] is a rare condition, and its diagnosis can be difficult. Confirmation requires specific imaging and treatment is presently well established, but it can be managed with basic tools ((Bola AS, Andjock YCN, Choffor EN, Nanci E, Esene IN, Djomou F. Bilateral sphenoid sinus mucocele observed in Yaoundé-Cameroon: a case report. Pan Afr Med J. 2021 Jul 13;39:198. doi: 10.11604/pamj.2021.39.198.22886. PMID: 34603579; PMCID: PMC8464203.)).