一例源自斯滕伯格管的脑脊液鼻漏罕见病例。
A Rare Case of Cerebrospinal Fluid Rhinorrhea from Canal of Stenberg.
作者信息
Ngu Chien Ying Vincent, Lee Teng Hui, Ramachandran Komathi, Liew Donald Ngian San, Tang Ing Ping
机构信息
Department of Otorhinolaryngology, Sarawak General Hospital, Kuching, Malaysia.
Otorhinolaryngology - Head & Neck Surgery DepartmentFaculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
出版信息
Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):764-767. doi: 10.1007/s12070-022-03347-z. Epub 2022 Dec 11.
UNLABELLED
: A spontaneous cerebrospinal leak from Sternberg's canal with meningoencephalocele is a very rare clinical entity. Endoscopic repair of the defect is challenging and crucial in identifying the defect. The aim of this case report is to highlight the presence and management with endoscopic surgery in repairing Sternberg canal. : 40-year-old woman presents with spontaneous CSF rhinorrhea with no predisposing factors. CT imaging and MRI showed osteodural defect in the lateral recess of sphenoid with meningoencephalocoele lateral to the foramen rotundum. Endoscopic transethmoidal - transphenoidal - transpterygoid approach was used to repair the defect, and patient is well post-operative with least complication from the intervention surgery. : Endoscopic approach proved to be the best and safest method in localizing the defect and closure of the leak. Angled scopes and image guided system were used to identify the precise location of the leak.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12070-022-03347-z.
未标注
来自施特恩贝格管的自发性脑脊液漏合并脑膜脑膨出是一种非常罕见的临床病症。内镜修复该缺损具有挑战性，且在识别缺损方面至关重要。本病例报告的目的是强调施特恩贝格管内镜手术修复的情况及处理方法。一名40岁女性无诱发因素出现自发性脑脊液鼻漏。CT成像和MRI显示蝶窦外侧隐窝存在骨硬膜缺损，脑膜脑膨出位于圆孔外侧。采用内镜经筛 - 经蝶 - 经翼突入路修复缺损，患者术后恢复良好，干预手术并发症最少。内镜入路被证明是定位缺损和封闭漏口的最佳且最安全的方法。使用成角内镜和图像引导系统来确定漏口的精确位置。
补充信息
在线版本包含可在10.1007/s12070 - 022 - 03347 - z获取的补充材料。
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