title: Petrous apex cephalocele presenting with cerebrospinal fluid rhinorrhea in an adult.
abstract: Petrous apex cephalocele (PAC) is a rare condition with very few case reports in the literature. We report a 26-year-old man with cerebrospinal fluid rhinorrhea that was misdiagnosed elsewhere and operated unsuccessfully via the endonasal route. CT cisternography revealed a 3mm right PAC for which he underwent a right subtemporal extradural approach and successful repair. We present what is to our knowledge the first case report in the literature of an adult presenting with cerebrospinal fluid leak and discuss the diagnostic dilemmas in the diagnosis of PAC, difficulties in management and review the available literature.
authors.affiliation: Department of Neurosurgery and Gamma Knife Radiosurgery, P.D. Hinduja Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, Maharashtra, India.
authors.forename: Abhijit G
authors.initials: AG
authors.lastname: Warade
authors.affiliation: Department of Neurosurgery and Gamma Knife Radiosurgery, P.D. Hinduja Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, Maharashtra, India. Electronic address: dr_bmisra@hindujahospital.com.
authors.forename: Basant K
authors.initials: BK
authors.lastname: Misra
mesh_terms: D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology* / Q000601:surgery; D003951:Diagnostic Errors; D004677:Encephalocele / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D010579:Petrous Bone
keywords: CSF rhinorrhea; Diagnosis; Petrous apex cephalocele; Skull base defect; Treatment