Endoscopic management of spontaneous meningoencephalocele of the lateral sphenoid sinus Clinical article

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dc.contributor.authorTabaee, Abtin
dc.contributor.authorAnand, Vijay K.
dc.contributor.authorCappabianca, Paolo
dc.contributor.authorStamm, Aldo [UNIFESP]
dc.contributor.authorEsposito, Felice
dc.contributor.authorSchwartz, Theodore H.
dc.contributor.institutionCornell Univ
dc.contributor.institutionUniv Naples Federico 2
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:59:41Z
dc.date.available2016-01-24T13:59:41Z
dc.date.issued2010-05-01
dc.description.abstractObject. Spontaneous meningoencephaloceles of the lateral sphenoid sinus are rare lesions that are hypothesized to result from persistence of the lateral craniopharyngeal canal. Prior reports of the management of this lesion have been limited by its relative rarity. the objective of this paper is to report the theoretical etiology, surgical technique, and outcomes in patients undergoing endoscopic repair of spontaneous meningoencephalocele of the sphenoid sinus.Methods. the authors conducted a retrospective review of a multiinstitutional series of 13 cases involving patients who underwent endoscopic repair of spontaneous meningoencephalocele of the lateral sphenoid sinus. the surgical technique and pathophysiological considerations are discussed.Results. the clinical manifestations included CSF rhinorrhea (85%), chronic headache (77%), and a history of meningitis (15%). the endoscopic approaches to the lateral sphenoid sinus were transnasal (39%), transpterygoid (23%), and transethmoid (39%). Two patients (8%) had postoperative CSF leaks, one of which closed spontaneously and one of which required revision endoscopic closure. All patients were free of leak at most recent follow-up. One patient experienced postoperative meningitis in the early postoperative period.Conclusions. Endoscopic endonasal closure is an effective modality in the treatment of spontaneous meningoencephaloceles of the lateral sphenoid sinus. If the sphenoid sinus has extensive lateral pneumatization, adequate exposure may require a transpterygoid approach. (DOI: 10.3171/2009.7.JNS0842)en
dc.description.affiliationCornell Univ, Weill Med Coll, New York Presbyterian Hosp, Dept Otolaryngol Head & Neck Surg, New York, NY 10021 USA
dc.description.affiliationCornell Univ, Weill Med Coll, New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10021 USA
dc.description.affiliationUniv Naples Federico 2, Dept Neurol Sci, Div Neurosurg, Naples, Italy
dc.description.affiliationUniversidade Federal de São Paulo, Dept Otolaryngol Head & Neck Surg, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Otolaryngol Head & Neck Surg, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1070-1077
dc.identifierhttp://dx.doi.org/10.3171/2009.7.JNS0842
dc.identifier.citationJournal of Neurosurgery. Rolling Meadows: Amer Assoc Neurological Surgeons, v. 112, n. 5, p. 1070-1077, 2010.
dc.identifier.doi10.3171/2009.7.JNS0842
dc.identifier.issn0022-3085
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/32542
dc.identifier.wosWOS:000277273600024
dc.language.isoeng
dc.publisherAmer Assoc Neurological Surgeons
dc.relation.ispartofJournal of Neurosurgery
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectcerebrospinal fluid leaken
dc.subjectencephaloceleen
dc.subjectsphenoid sinusen
dc.subjectendoscopic sinus surgeryen
dc.subjectmeningoencephaloceleen
dc.subjectskull baseen
dc.titleEndoscopic management of spontaneous meningoencephalocele of the lateral sphenoid sinus Clinical articleen
dc.typeinfo:eu-repo/semantics/article
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