| Endoscopic management of spontaneous meningoencephalocele of the lateral sphenoid sinus. | |
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MedLine Citation:
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PMID: 19698044 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECT: Spontaneous meningoencephaloceles of the lateral sphenoid sinus are rare lesions that are hypothesized to result from persistence of the lateral craniopharyngeal canal. Prior reports of the management of this lesion have been limited by its relative rarity. The objective of this paper is to report the theoretical etiology, surgical technique, and outcomes in patients undergoing endoscopic repair of spontaneous meningoencephalocele of the sphenoid sinus. METHODS: The authors conducted a retrospective review of a multiinstitutional series of 13 cases involving patients who underwent endoscopic repair of spontaneous meningoencephalocele of the lateral sphenoid sinus. The surgical technique and pathophysiological considerations are discussed. RESULTS: The clinical manifestations included CSF rhinorrhea (85%), chronic headache (77%), and a history of meningitis (15%). The endoscopic approaches to the lateral sphenoid sinus were transnasal (39%), transpterygoid (23%), and transethmoid (39%). Two patients (8%) had postoperative CSF leaks, one of which closed spontaneously and one of which required revision endoscopic closure. All patients were free of leak at most recent follow-up. One patient experienced postoperative meningitis in the early postoperative period. CONCLUSIONS: Endoscopic endonasal closure is an effective modality in the treatment of spontaneous meningoencephaloceles of the lateral sphenoid sinus. If the sphenoid sinus has extensive lateral pneumatization, adequate exposure may require a transpterygoid approach. |
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Authors:
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Abtin Tabaee; Vijay K Anand; Paolo Cappabianca; Aldo Stamm; Felice Esposito; Theodore H Schwartz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 112 ISSN: 1933-0693 ISO Abbreviation: J. Neurosurg. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-03 Completed Date: 2010-05-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 1070-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, New York Presbyterian Hospital-Weill Medical College of Cornell University, New York, New York, USA. atabaee@hotmail.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cerebrospinal Fluid Rhinorrhea / diagnosis Chronic Disease Diagnosis, Differential Encephalocele / pathology*, surgery* Endoscopy / methods* Female Headache / diagnosis Humans Magnetic Resonance Imaging Male Meningocele / pathology*, surgery* Middle Aged Nasal Cavity Postoperative Complications Retrospective Studies Sphenoid Sinus / pathology*, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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