Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Aleksandar Radonjic, Abdul Mounem Kassab, Ioana D. Moldovan, Shaun Kilty, Fahad Alkherayf

ABSTRACT

BACKGROUND: Basal meningoceles are rare herniations of the meninges that tend to present unilaterally with cerebrospinal fluid rhinorrhea. Growing evidence suggests that intracranial hypertension contributes considerably to the formation of spontaneous basal meningoceles. CASE PRESENTATION: A 50-year-old man of Middle East ethnicity presented with a 16-week history of cerebrospinal fluid rhinorrhea, short-term memory loss, and slight decline in cognitive function. We present a case of bilateral spontaneous meningoceles with bone defects in the left lateral sphenoid sinus and right anterior cribriform plate, as well as with a remodeled sella. A neuronavigation-assisted expanded endoscopic endonasal surgery was performed to resect the meningoceles. Postoperative imaging demonstrated complete resolution of the bilateral meningoceles. CONCLUSIONS: This case reports the first bilateral basal spontaneous meningoceles in the literature. Furthermore, based on this case's imaging results and the literature reviewed, elevated intracranial pressure may be a determining factor behind the development of spontaneous meningoceles. More... »

PAGES

62

References to SciGraph publications

  • 1999-07. Intrasphenoid cephalocele: MRI in two cases in NEURORADIOLOGY
  • 1987-03. Intrasphenoidal encephaloceles—a clinical entity in ACTA NEUROCHIRURGICA
  • 1976-07. Acquired basal encephalocele in NEURORADIOLOGY
  • Identifiers

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    http://scigraph.springernature.com/pub.10.1186/s13256-018-1959-6

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    PUBMED

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