Rinorraquia secundaria a meningocele transclival. A propósito de un caso y revisión de la literatura

Zanabria-Ortiz, Robert; Domínguez-Báez, J.J.; Toro, Artazkoz del; Lazo-Fernández, Eglis; Sánchez-Medina, Y.; Robles-Hidalgo, Eric

doi:10.1016/j.neucir.2015.02.008

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…This direct technique provides satisfactory results in patients with symptomatic transclival meningoceles. 8 , 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

“…This direct technique provides satisfactory results in patients with symptomatic transclival meningoceles. 8,13,14 However, only few cases describe vigilant surveillance as a therapeutical option, especially in patients with small bone defect with minimal herniation, 15 requiring close observation until an invasive procedure is needed. This spared the reported patients an invasive procedure and meningoceles resolved spontaneously.…”

Section: Case Reportmentioning

confidence: 99%

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Spontaneous clival meningocele

Ouali¹,

Onka²,

Elkettani³

et al. 2022

SAGE Open Medical Case Reports

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The occipital bone is an uncommon location for meningoceles protrusion. This condition occurs generally after a severe traumatism or surgical procedure. However, in some rare cases, the herniation can happen spontaneously. Nontraumatic clival meningoceles present an extremely rare entity and correspond to a herniating pachymeningeal collection containing cerebrospinal fluid through a zone of fragility in the clivus. Clinical presentation ranges from simple headache or rhinorrhea to severe complications such as recurrent bacterial meningitis or nerve compression. Computed tomography provides an analysis of the bone and magnetic resonance imaging provides a superior contrast resolution, helping to distinguish among the various types of clival lesions. We report the case of a young woman with a long history of idiopathic intracranial hypertension, who presented with a worsening headache. Magnetic resonance imaging confirmed a clival meningocele without other complications and the patient was put under medical surveillance.

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“…This direct technique provides satisfactory results in patients with symptomatic transclival meningoceles. 8 , 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Spontaneous clival meningocele

Ouali¹,

Onka²,

Elkettani³

et al. 2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

Unrecognized notochordal lesions as a likely cause of idiopathic clival cerebrospinal fluid leaks

Hasegawa

Gompel

Choby

et al. 2023

Clinical Neurology and Neurosurgery

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Spontaneous Clival Leaks and Their Management

Sara,

Upreti,

Thomas

et al. 2024

J Neurol Surg B Skull Base

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Introduction: Cerebrospinal spinal fluid (CSF) leaks through the nasal cavity occurrence has a rising trend, of which primary spontaneous leak is 6%-40% of all the CSF leaks. The most common site of CSF leak is Ethmoid roof where the bone is thinner in the entire skull base. Clivus being the hard bone, is a rare site for spontaneous leak. We present a case series from a single quaternary care center of this rare occurrence and study its reason and management strategy. Materials and Methods: A retrospective surgical audit over a period of 10 years of all patients diagnosed with CSF rhinorrhea was done .A PubMed search was conducted with keywords of CSF leak, CSF rhinorrhea, spontaneous CSF rhinorrhea, clival leak, clivus to identify the literature and these articles were compiled and their management reviewed. Results and Analysis: A total of 100 patients underwent surgical management for spontaneous CSF leak of which there were 5 patients who had spontaneous CSF rhinorrhea from the Clivus. There were 4 female patients, 4 patients had high BMI. The most common site of leak was midclivus annd surgical technique employed was multilayer dural plasty with a nasoseptal flap and measures were taken to reduce the intracranial pressure intra operatively and post operatively Conclusion: Spontaneous clival leak is a rare entity with mid and lower clivus being the common site. A combined approach by ENT and Neurosurgeons results in best outcome for the patients.

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Rinorraquia secundaria a meningocele transclival. A propósito de un caso y revisión de la literatura

Cited by 4 publications

References 14 publications

Spontaneous clival meningocele

Spontaneous clival meningocele

Unrecognized notochordal lesions as a likely cause of idiopathic clival cerebrospinal fluid leaks

Spontaneous Clival Leaks and Their Management

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