A Case of Evolving Bilateral Sphenoidal Meningoencephaloceles: Case Report and Review of the Literature

被引：13

作者：

Aggarwal, Varun ^{[1
]}

Nair, Prakash ^{[1
]}

Shivhare, Pankaj ^{[1
]}

Jayadevan, E. R. ^{[2
]}

Felix, Vinod ^{[3
]}

Abraham, Mathew ^{[1
]}

Nair, Suresh

机构：

[1] Sree Chitra Tirunal Inst Med Sci SCTIMST, Dept Neurosurg, Trivandrum, Kerala, India

[2] Sree Chitra Tirunal Inst Med Sci SCTIMST, Dept IS & IR, Trivandrum, Kerala, India

[3] Sree Uthradom Thirunal Hosp SUT, Dept ENT, Trivandrum, Kerala, India

来源：

WORLD NEUROSURGERY | 2017年 / 100卷

关键词：

Cerebrospinal fluid rhinorrhea; Dural arteriovenous fistula; Endoscopic transpterygoid approach; Meningoencephalocele; Sphenoid sinus; Sternberg canal; SINUS; ENCEPHALOCELES; FISTULAS;

D O I：

10.1016/j.wneu.2017.02.037

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: The evolution of sphenoid sinus meningoencephaloceles and cerebrospinal fluid (CSF) rhinorrhea is poorly understood. CASE DESCRIPTION: We present a case demonstrating the gradual evolution of encephaloceles from both the lateral walls of a previously normal sphenoid sinus in a patient with dural arteriovenous fistula; the CSF leak that developed after staged embolization of the dural arteriovenous fistula was managed by an endoscopic endonasal transpterygoid approach. CONCLUSIONS: We suggest that over a period of time, chronic elevation of intracranial pressure can result in gradual erosion of the lateral wall of the sphenoid with development of meningoencephaloceles and CSF leaks.

引用

页码：708.e11 / 708.e17

页数：7

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