Application of the Skull Base Technique to the Repair of Transsphenoidal Meningoencephaloceles

Kai, Yutaka; Saijo, Nagahiro; Yoshioka, Shuya; Ushio, Yukitaka

doi:10.1159/000121097

Cited by 17 publications

(2 citation statements)

References 17 publications

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“…In humans, various types of meningoencephalocele patients can be recognised by computer tomography (CT) and magnetic resonance imaging techniques [2]. These abnormalities are commonly repaired surgically [3,8]. In animals, the meningoencephalocele has also been described in other domestic animals such as pigs, dogs and cats [7,[9][10][11].…”

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confidence: 99%

Computer Tomography Diagnosis of Meningoencephalocele in a Calf

Ohba

Iguchi

Hirose

et al. 2008

The Journal of Veterinary Medical Science

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ABSTRACT. A 24-day-old female Holstein calf had a soft, painless fluctuating swelling on the median plane in the frontal region, but did not show any clinical symptoms including neurological signs. Computer tomography (CT) distinctly showed the cyst filled with fluid and part of the encephalon. Hence, this swelling was diagnosed as meningoencephalocele, but not meningocele. The meningoencephalocele was successfully repaired surgically. Meningoencephalocele can thus be easily recognised by CT in a calf.

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mentioning

confidence: 99%

Computer Tomography Diagnosis of Meningoencephalocele in a Calf

Ohba

Iguchi

Hirose

et al. 2008

The Journal of Veterinary Medical Science

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“…4,9,19,20 Kai et al, in 1996, reported a successful open repair using the transbasal intraand extradural approach. 21 A combined transcranial and transpalatal approach has been described, but in general intracranial approaches have decreased with the development of advanced endoscopic techniques. 22 Transnasal endoscopic techniques have rapidly evolved, and the expanded endonasal approach is now advocated for benign and malignant tumors as well as congenital and acquired defects of the skull base.…”

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confidence: 99%

The Transpalatal Approach to Repair of Congenital Basal Skull Base Cephaloceles

et al. 2014

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Basal skull base herniations, including meningoceles and encephaloceles, are rare and may present with characteristic facial and neurologic features. The traditional craniotomy approach has known morbidity, and nasal endoscopy may not allow for control of large posterior basal defects, especially in newborns. We present two cases of successful repair of basal transsphenoidal meningoceles using an oral-transpalatal approach. The first patient with an intact palate presented with respiratory distress, and a palatectomy was performed for access to the skull base. The second patient had a large basal herniation that was reduced through a congenital midline cleft palate, and a calvarial bone graft was used to repair the defect. A literature search revealed 10 previous successful cases using the transpalatal repair, which allows for excellent access, low morbidity, and a team-oriented method to skull base surgery.

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Endoscopic endonasal approaches to anterior skull base defects in pediatric patients

et al. 2006

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The surgical treatment of skull base defects in children reduces life-threatening risks, which include infections, CSF leaks, and enlargement or trauma of the sac. The endoscopic technique minimizes surgical scars and has little impact on brain tissue. The endoscopic endonasal approach to the anterior skull base helps to preserve the physiology of the nose and sinuses and reduces the impact on the still developing splanchnocranium in pediatric patients. It ensures a definitive repair of the defect and requires a very short inpatient period.

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Application of the Skull Base Technique to the Repair of Transsphenoidal Meningoencephaloceles

Cited by 17 publications

References 17 publications

Computer Tomography Diagnosis of Meningoencephalocele in a Calf

Computer Tomography Diagnosis of Meningoencephalocele in a Calf

The Transpalatal Approach to Repair of Congenital Basal Skull Base Cephaloceles

Endoscopic endonasal approaches to anterior skull base defects in pediatric patients

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