Endoscopic Endonasal Repair of a Persistent Craniopharyngeal Canal and Sphenoid Meningoencephalocele: Case Report and Review of Literature
| Autor: | Prakash Nair, Deepti A N, Palak A Jaiswal, Mathew Abraham, Gopikrishnan Rajasekar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Natural Orifice Endoscopic Surgery
medicine.medical_specialty Cerebrospinal Fluid Rhinorrhea Nostril Meningocele 03 medical and health sciences 0302 clinical medicine Sphenoid Bone medicine Humans Encephalocele Skull Base business.industry Craniopharyngeal canal Case description Surgery Skull medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis Neuroendoscopy Female Bacterial meningitis Neurology (clinical) Pituitary dysfunction Nasal Cavity Subarachnoid space business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 122:196-202 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2018.10.138 |
| Popis: | Background A persistent craniopharyngeal canal (PCC) is a rare cause of cerebrospinal fluid rhinorrhea in children. The condition often coexists with other midline facial defects, such as cleft palate. Children with PCC may also have pituitary dysfunction or neoplasms, such as craniopharyngiomas within the canal. Case Description A 5-year-old girl presented with bacterial meningitis and active cerebrospinal fluid rhinorrhea from her left nostril. Imaging showed a large nasopharyngeal meningoencephalocele, communicating with the subarachnoid space through a persistent craniopharyngeal canal. An endonasal approach was chosen to excise the PCC and meningoencephalocele and to repair the resulting skull base defect. Conclusions The extended endonasal approach can be used to treat PCC with nasopharyngeal encephaloceles in young children. The approach is suitable to address both conditions at the same time. The extended endonasal approach avoids potentially morbid transfacial approaches and can help in earlier recovery after surgery. |
| Databáze: | OpenAIRE |
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