Cerebrospinal Fluid Leak, Meningocele and Meningoencephalocele

Pianta, Luca; Pinelli, Lorenzo; Nicolai, Piero; Maroldi, Roberto

doi:10.1007/3-540-26631-3_7

Cited by 8 publications

(16 citation statements)

References 43 publications

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“…Meningoencephalocele is a rare condition; its incidence varies from 0.008% to 0.03% in different parts of the world, whereas prevalence of basal MEC is 1 in 35,000 live births [ 5 , 8 ]. In this case, patient had rare anterior basal transethmoidal localization and it was the first case in Republican Vilnius University Hospital in 20 years.…”

Section: Discussionmentioning

confidence: 99%

“…According to Pianta et al, anterior MEC is more commonly found in Southeast Asia, Russia, and Central Africa regions [ 5 ]. It is a condition when the intracranial content protrudes through a defect in the skull that is located in the inferior part of anterior skull fossa, between lamina papyracea and processus clinoideus or in orbit [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Cerebrospinal fluid (CSF) leakage, headaches, and nasal obstruction are the most common symptoms [ 6 ]. Relapsing meningitis and neurological symptoms might also be present, but it is highly unusual for all the symptoms to occur together [ 5 ]. Nasal endoscopy, biochemical nasal discharges test (if discharge is present), and both CT and MRI are important when diagnosing this pathology [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic Endonasal Approach of Congenital Meningoencephalocele Surgery: First Reported Case in Lithuania

Balseris

Strazdas

Ročka

et al. 2015

Case Reports in Otolaryngology

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Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Endonasal Approach of Congenital Meningoencephalocele Surgery: First Reported Case in Lithuania

Balseris

Strazdas

Ročka

et al. 2015

Case Reports in Otolaryngology

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“…In many cases, common symptoms are nasal obstruction, headaches and CSF leaks. In some cases, recurrent meningitis and some neurological symptoms have been reported, but this is not the usual presentation 4,7 . Diagnosis of MEC can be made through imaging studies, nasal endoscopy and biochemistry of nasal discharge, when discharge is a symptom 5 .…”

Section: Introductionmentioning

confidence: 99%

“…The main forms of MEC are congenital and posttraumatic, but other forms, like spontaneous or iatrogenic, have been described in literature [4][5][6][7] . Related to their location, nasal MEC can be divided into basal and frontoethmoidal types, while the basal type can be furthermore classified into transethmoidal, sphenoethmoidal, transsphenoidal and frontosphenoidal [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Endoscopic endonasal resection of a nasal meningoencephalocele - Case report

Budu

Decuseară²,

Costache³

et al. 2017

Romanian Journal of Rhinology

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Nasal meningoencephaloceles are rare findings, represented by protrusions of intracranial contents into the nasal cavity. They present as unilateral masses, and commonly determine unilateral nasal obstruction, rhinorrhea and non-characteristic headaches.We present the case of a 34-year-old patient diagnosed with a posttraumatic transethmoidal meningoencephalocele. The patient presented with unilateral nasal obstruction, mild headache and episodic watery rhinorrhea. The treatment was endoscopic endonasal surgical excision and repair of the skull base defect, in a mixt ENT-neurosurgical team. Patient follow-up showed no remaining mass or symptoms and normal closure of the skull base defect.

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Endoscopic Endonasal Anterior Skull Base Meningoencephalocele and Cerebrospinal Fluid Leak Repair: Our Intraoperative and Postoperative Protocol and Long-term Outcomes

Ruiz,

Uram,

Strelko

et al. 2024

J Neurol Surg B Skull Base

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Objective: We evaluated the long-term outcomes from a single neurosurgeon and otolaryngologist team using a specific operative protocol for repair and postoperative evaluation. Design: The charts of patients undergoing endoscopic endonasal repair of meningoencephaloceles (MECs) and cerebrospinal fluid (CSF) leaks were retrospectively reviewed from 2015 - 2023. Intraoperative steps of the repair and reconstruction were analyzed. Patients' postoperative assessments and complications were analyzed. Setting: Loyola University Medical Center’s electronic medical record database Participants: 43 patients (32 female) between 11-81 years old. Main Outcome Measures: Long-term outcomes of patients that underwent endoscopic endonasal repair of MECs and CSF leaks by a single team and protocol. We hypothesized that there would be minimal complications and no recurrences, requiring secondary operation. Results: The most common site for MECs was the cribriform plate. Lumbar drain opening pressures ranged from 10 to 35 cmH2O with 18 out of 34 patients having the lumbar drain removed immediately postoperatively. The median hospital stay was 3 days. The average length of follow up was 3.8 years. No recurrences or secondary operations were noted in all patients. One patient had a sinonasal infection that was successfully treated. 8 patients were noted to have venous stenosis and underwent further evaluation. Conclusion: This study represents one of the largest long-term analyses of outcomes by a single team. Our specific protocol for the endoscopic endonasal repair of anterior skull base MECs and CSF leaks is safe and effective. These patients should be evaluated and treated for elevated intracranial pressure following the repair.

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Cerebrospinal Fluid Leak, Meningocele and Meningoencephalocele

Cited by 8 publications

References 43 publications

Endoscopic Endonasal Approach of Congenital Meningoencephalocele Surgery: First Reported Case in Lithuania

Endoscopic Endonasal Approach of Congenital Meningoencephalocele Surgery: First Reported Case in Lithuania

Endoscopic endonasal resection of a nasal meningoencephalocele - Case report

Endoscopic Endonasal Anterior Skull Base Meningoencephalocele and Cerebrospinal Fluid Leak Repair: Our Intraoperative and Postoperative Protocol and Long-term Outcomes

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