Department of Neurosurgery, C. N. Center, All India Institute of Medical Sciences, New Delhi, India.
Neurol India. 2011 Mar-Apr;59(2):289-92. doi: 10.4103/0028-3886.79157.
Transsellar transsphenoidal encephalocele is the least common type of basal encephalocele. We present a series of four cases of transsellar transsphenoidal encephalocele. Clinical findings, imaging reviews, surgical repair techniques and postoperative morbidity are discussed with the relevant literature. Non contrast CT scan head with 3D reconstruction and magnetic resonance imaging should be done in all patients of transsphenoidal encephalocele. Endocrine assessment is also essential. Repair of a transsphenoidal encephalocele should be coordinated between a team of neurosurgeons and ENT surgeon. Our surgical outcome supports the transpalatal/ transnasal approach over the transcranial approach.
鞍内经蝶窦脑膨出是最不常见的颅底脑膨出类型。我们报告了一系列 4 例鞍内经蝶窦脑膨出。讨论了临床发现、影像学检查、手术修复技术和术后发病率，并结合相关文献进行了讨论。所有经蝶窦脑膨出患者均应行头颅 CT 平扫加 3D 重建和磁共振成像检查。内分泌评估也很重要。经蝶窦脑膨出的修复应由神经外科医生和耳鼻喉科医生团队共同协调。我们的手术结果支持经腭/经鼻入路优于经颅入路。
