Clyde B L, Stechison M T
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pennsylvania.
Neurosurgery. 1995 Jan;36(1):202-6; discussion 206. doi: 10.1227/00006123-199501000-00029.
A 54-year-old woman was referred for the evaluation and treatment of spontaneous cerebrospinal fluid rhinorrhea. Magnetic resonance imaging revealed a right anteromedial intrasphenoidal encephalocele with cisternography showing the flow of contrast into the sphenoid encephalocele. Transcranial surgical repair was performed. This included the use of a vascularized split-thickness calvarial graft fixated over the cranial base defect with a titanium microplate. The technical details of this repair are discussed. Ten cases of temporosphenoidal encephaloceles have been reported. The literature concerning this rare form of encephalocele is reviewed.
一名54岁女性因自发性脑脊液鼻漏接受评估和治疗。磁共振成像显示右侧蝶窦内前内侧脑膨出，脑池造影显示造影剂流入蝶窦脑膨出。进行了经颅手术修复。这包括使用带血管蒂的分层颅骨移植片，用微型钛板固定在颅底缺损处。讨论了这种修复的技术细节。已报道了10例颞蝶部脑膨出病例。对有关这种罕见脑膨出形式的文献进行了综述。
