Management of anterior fossa cephaloceles

Rampinelli, Vittorio; Mattavelli, Davide; Ferrari, Marco; Schreiber, Alberto; Ravanelli, Marco; Farina, Davide; Deganello, Alberto; Fontanella, Marco Maria; Doglietto, Francesco; Nicolai, Piero

doi:10.23736/s0390-5616.20.05099-7

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2024

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“…If left untreated serious complications such as central nervous system infection may arise. Treatment is challenging and depends on the bony defect location and its dimensions [ 2 ]. Sphenoidal meningoencephaloceles are rare; in this case report we summarize two clinical cases with completely different etiology and clinical presentation.…”

Section: Introductionmentioning

confidence: 99%

Sphenoid Meningoencephalocele Correction Through a Transpterygoid Approach

Mar,

Miranda,

Lima

et al. 2024

Cureus

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Sphenoid meningoencephaloceles are rare, and their treatment is challenging. In this report, we describe two clinical cases of sphenoid meningoencephalocele, in which one patient presented with a cerebrospinal fluid leak after repeated head trauma, while in the other, sphenoid meningoencephalocele was detected during the study of memory impairment as the patient was otherwise asymptomatic. The CT scans showed bony dehiscence on the lateral wall of the sphenoid sinus filled with soft tissue that was confirmed by MRI as being herniated brain tissue. A transpterygoid endoscopic endonasal approach was performed with a multilayer reconstruction of the defect with success in both cases without perioperative complications. Imaging techniques are fundamental for diagnosis and surgical planning. Treatment using an endoscopic endonasal approach is efficient with very low morbidity.

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Section: Introductionmentioning

confidence: 99%