Intrasphenoidal meningoencephalocele: a case report.
A case of intrasphenoidal meningoencephalocele is presented, representing the eighth case report in English language literature. The major presenting symptom was retro-orbital headache. The patient also had cerebrospinal fluid rhinorrhea and a history of recurrent meningitis. Diagnosis was suspected on the basis of plain radiographs of the sinuses and was confirmed by computed tomography scan. The meningoencephalocele was reduced via a sublabial, transseptal sphenoidotomy approach with improvement of the patient's symptoms. Management and treatment of isolated sphenoid sinus lesions are discussed as well as the pathophysiology of intrasphenoidal meningoencephaloceles.
Department of Otolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, Bronx, NY.
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D
Myssiorek
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Cohen
D000368:Aged; D004677:Encephalocele / Q000601:surgery; D005260:Female; D006801:Humans; D008588:Meningocele / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed