Repair of temporosphenoidal encephalocele with a vascularized split calvarial cranioplasty: technical case report.
A 54-year-old woman was referred for the evaluation and treatment of spontaneous cerebrospinal fluid rhinorrhea. Magnetic resonance imaging revealed a right anteromedial intrasphenoidal encephalocele with cisternography showing the flow of contrast into the sphenoid encephalocele. Transcranial surgical repair was performed. This included the use of a vascularized split-thickness calvarial graft fixated over the cranial base defect with a titanium microplate. The technical details of this repair are discussed. Ten cases of temporosphenoidal encephaloceles have been reported. The literature concerning this rare form of encephalocele is reviewed.
Clyde
B L
BL
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pennsylvania.
Stechison
M T
MT
D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D004677:Encephalocele / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D019736:Prostheses and Implants; D013101:Sphenoid Sinus / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014057:Tomography, X-Ray Computed