Radovnický Tomáš, Bartoš Robert, Vachata Petr, Sameš Martin
Department of Neurosurgery, J. E. Purkyne University, Masaryk Hospital, Usti nad Labem, Czech Republic.
J Neurol Surg A Cent Eur Neurosurg. 2019 Mar;80(2):138-140. doi: 10.1055/s-0038-1676621. Epub 2018 Dec 24.
Transethmoidal encephalocele is a rare condition in adult patients. It is usually diagnosed during childhood by cerebrospinal fluid (CSF) rhinorrhea, meningitis, a nasal mass, or seizures. We present a case of an adult woman with CSF rhinorrhea following resection of an occipital meningioma. The cribriform plate defect containing the encephalocele was diagnosed by computed tomography and magnetic resonance imaging. Transcranial surgery using a patch was performed successfully. We also discuss the possible pathophysiologic mechanisms of encephalocele and treatment options.
经筛窦脑膨出在成年患者中是一种罕见病症。它通常在儿童期通过脑脊液鼻漏、脑膜炎、鼻腔肿物或癫痫发作得以诊断。我们报告一例成年女性在枕部脑膜瘤切除术后出现脑脊液鼻漏的病例。通过计算机断层扫描和磁共振成像诊断出含有脑膨出的筛板缺损。成功实施了使用补片的经颅手术。我们还讨论了脑膨出可能的病理生理机制及治疗选择。
