Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature
| Autor: | Ioana D. Moldovan, Shaun Kilty, Fahad Alkherayf, Abdul Mounem Kassab, Aleksandar Radonjic |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Sphenoid Sinus Endoscopic endonasal surgery Cerebrospinal Fluid Rhinorrhea lcsh:Medicine Case Report Cribriform plate 030204 cardiovascular system & hematology Meningocele Neurosurgical Procedures 03 medical and health sciences Basal (phylogenetics) 0302 clinical medicine Expanded endoscopic medicine Humans Cognitive Dysfunction Sinus (anatomy) Memory Disorders Lateral intrasphenoidal Transethmoidal business.industry Spontaneous lcsh:R Meninges Endoscopy General Medicine Middle Aged Bilateral Complete resolution Surgery Skull base Treatment Outcome medicine.anatomical_structure Endonasal 030220 oncology & carcinogenesis Tomography X-Ray Computed business Right anterior |
| Zdroj: | Journal of Medical Case Reports, Vol 13, Iss 1, Pp 1-6 (2019) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/s13256-018-1959-6 |
| Popis: | Background Basal meningoceles are rare herniations of the meninges that tend to present unilaterally with cerebrospinal fluid rhinorrhea. Growing evidence suggests that intracranial hypertension contributes considerably to the formation of spontaneous basal meningoceles. Case presentation A 50-year-old man of Middle East ethnicity presented with a 16-week history of cerebrospinal fluid rhinorrhea, short-term memory loss, and slight decline in cognitive function. We present a case of bilateral spontaneous meningoceles with bone defects in the left lateral sphenoid sinus and right anterior cribriform plate, as well as with a remodeled sella. A neuronavigation-assisted expanded endoscopic endonasal surgery was performed to resect the meningoceles. Postoperative imaging demonstrated complete resolution of the bilateral meningoceles. Conclusions This case reports the first bilateral basal spontaneous meningoceles in the literature. Furthermore, based on this case’s imaging results and the literature reviewed, elevated intracranial pressure may be a determining factor behind the development of spontaneous meningoceles. |
| Databáze: | OpenAIRE |
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