Persistent cerebrospinal fluid rhinorrhea by intrasphenoidal encephalocele.
The case of a 60-year-old man with a 6-month history of cerebrospinal fluid (CSF) rhinorrhea is presented. Computed tomography (CT) and magnetic resonance (MR) imaging revealed an intrasphenoidal mass extending through a bony defect of the roof of the left sphenoid sinus. Transnasal surgical repair was performed; intraoperatively the mass was identified as an intrasphenoidal encephalocele. The pathogenesis of this anomaly is analyzed, the clinical findings and the operative treatment are described, and the literature is reviewed.
Peltonen
E
E
Department of Neurosurgery Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Germany. elvira.peltonen@charite.de
Sedlmaier
B
B
Brock
M
M
Kombos
T
T
D000437:Alcoholism / Q000150:complications; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology*; D004677:Encephalocele / Q000134:cerebrospinal fluid / Q000150:complications* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D012559:Schizophrenia / Q000150:complications; D012886:Skull / Q000000981:diagnostic imaging; D013101:Sphenoid Sinus / Q000601:surgery*; D014057:Tomography, X-Ray Computed