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蛛网膜囊肿及广泛的鼻窦气化作为自发性蝶窦内脑膨出的病因

Arachnoid pit and extensive sinus pnematization as the cause of spontaneous lateral intrasphenoidal encephalocele.

作者信息

Almontasheri Ali, Al-Qahtani Bandar, Aldajani Nader

机构信息

Department of Radiology, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.

出版信息

J Clin Imaging Sci. 2012;2:1. doi: 10.4103/2156-7514.92363. Epub 2012 Jan 27.

DOI:10.4103/2156-7514.92363
PMID:22347684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3279694/
Abstract

Lateral sphenoid encephalocele, especially within the lateral aspect of the sphenoid sinus, when the sphenoid sinus has pneumatized extensively into the pterygoid recess, are considered exceedingly rare. We report a rare case of lateral intrasphenoidal encephalocele with spontaneous cerebral spinal fluid (CSF) rhinorrhea. Computed tomography demonstrated bilateral arachnoid pit, extensive sphenoid sinus pneumatization, and a defect in the superior wall of the left lateral recess of the sphenoid sinus. Magnetic resonance imaging demonstrated anteromedial temporal lobe herniating through the bony defect.

摘要

外侧蝶骨脑膨出，尤其是在蝶窦外侧部分，当蝶窦广泛气化进入翼突隐窝时，被认为极为罕见。我们报告一例罕见的伴有自发性脑脊液鼻漏的蝶窦内外侧脑膨出病例。计算机断层扫描显示双侧蛛网膜凹陷、蝶窦广泛气化以及蝶窦左侧外侧隐窝上壁缺损。磁共振成像显示颞叶前内侧通过骨缺损疝出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/f3855916098f/JCIS-2-1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/aea3024c106a/JCIS-2-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/9c2c90c871fc/JCIS-2-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/fe7a109fdb28/JCIS-2-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/3cba0a3c99f2/JCIS-2-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/2fc6adb74334/JCIS-2-1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/f3855916098f/JCIS-2-1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/aea3024c106a/JCIS-2-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/9c2c90c871fc/JCIS-2-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/fe7a109fdb28/JCIS-2-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/3cba0a3c99f2/JCIS-2-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/2fc6adb74334/JCIS-2-1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fc/3279694/f3855916098f/JCIS-2-1-g007.jpg

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本文引用的文献

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Spontaneous cerebrospinal fluid rhinorrhea associated with a far lateral temporal encephalocele--case report.自发性脑脊液鼻漏伴远外侧颞部脑膨出——病例报告
Neurol Med Chir (Tokyo). 2010;50(3):243-5. doi: 10.2176/nmc.50.243.
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Spontaneous CSF-leaks and meningoencephaloceles in sphenoid sinus by persisting Sternberg's canal.蝶窦中持续存在的 Sternberg 管导致的自发性脑脊液漏和脑膜脑膨出。
Rhinology. 2009 Dec;47(4):369-74. doi: 10.4193/Rhin08.236.
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Endoscopic management of spontaneous meningoencephalocele of the lateral sphenoid sinus.
内镜下处理外侧蝶窦自发性脑膜脑膨出。
J Neurosurg. 2010 May;112(5):1070-7. doi: 10.3171/2009.7.JNS0842.
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Sternberg's canal: fact or fiction?施特恩贝格管：确有其事还是虚构之说？
Am J Rhinol Allergy. 2009 Mar-Apr;23(2):167-71. doi: 10.2500/ajra.2009.23.3290.
5
Nontraumatic skull base defects with spontaneous CSF rhinorrhea and arachnoid herniation: imaging findings and correlation with endoscopic sinus surgery in 27 patients.伴有自发性脑脊液鼻漏和蛛网膜疝的非创伤性颅底缺损：27例患者的影像学表现及其与鼻内镜鼻窦手术的相关性
AJNR Am J Neuroradiol. 2008 Mar;29(3):542-9. doi: 10.3174/ajnr.A0840. Epub 2007 Dec 13.
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Endonasal endoscopic repair of Sternberg's canal cerebrospinal fluid leaks.经鼻内镜修复施特恩贝格管脑脊液漏。
Laryngoscope. 2007 Feb;117(2):345-9. doi: 10.1097/01.mlg.0000251452.90657.3a.
7
Sphenoid encephaloceles: disease management and identification of lesions within the lateral recess of the sphenoid sinus.蝶骨脑膨出：蝶窦外侧隐窝内病变的疾病管理与识别
Laryngoscope. 2002 Oct;112(10):1800-5. doi: 10.1097/00005537-200210000-00018.
8
A retrospective analysis of spontaneous sphenoid sinus fistula: MR and CT findings.蝶窦自发性瘘管的回顾性分析：磁共振成像（MR）和计算机断层扫描（CT）表现
AJNR Am J Neuroradiol. 2000 Feb;21(2):337-42.
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Surgical treatment of cerebrospinal fluid fistulae involving lateral extension of the sphenoid sinus.
Neurosurgery. 1998 May;42(5):1101-4; discussion 1104-5. doi: 10.1097/00006123-199805000-00087.
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Evaluation of high-resolution CT and MR cisternography in the diagnosis of cerebrospinal fluid fistula.高分辨率CT和磁共振脑池造影在脑脊液瘘诊断中的评估
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