Cargando…
Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management
Meningoencephaloceles of the skull base most commonly occur as a sequela of head trauma or they can more rarely be congenital malformations. Several types of encephalocele exist depending on anatomic features and localisation. Clinical presentation and symptoms can vary. Different methods of managem...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228147/ https://www.ncbi.nlm.nih.gov/pubmed/32404373 http://dx.doi.org/10.1136/bcr-2020-234703 |
_version_ | 1783534585234063360 |
---|---|
author | Hallak, Bassel Kurzbuch, Arthur Robert Fournier, Jean-Yves Bouayed, Salim |
author_facet | Hallak, Bassel Kurzbuch, Arthur Robert Fournier, Jean-Yves Bouayed, Salim |
author_sort | Hallak, Bassel |
collection | PubMed |
description | Meningoencephaloceles of the skull base most commonly occur as a sequela of head trauma or they can more rarely be congenital malformations. Several types of encephalocele exist depending on anatomic features and localisation. Clinical presentation and symptoms can vary. Different methods of management and repair of the concurring skull base defects have been described and ranging vary from endoscopic to open surgical approaches. We report the case of a 56-year-old Caucasian woman with the diagnosis of right sided spontaneous transethmoidal meninoencephalocele. Clinical presentation of this rare pathology, methods of diagnostic and management and its outcome are presented. Spontaneous skull base meningoencephaloceles are rare entities, without clear underlying etiologies. Multidisciplinary management is recommended. The transnasal endoscopic approach provides a wide skull base exposure with more advantages and less morbidity in comparison with the conventional open approach. |
format | Online Article Text |
id | pubmed-7228147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-72281472020-05-18 Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management Hallak, Bassel Kurzbuch, Arthur Robert Fournier, Jean-Yves Bouayed, Salim BMJ Case Rep Applied Basic Science Meningoencephaloceles of the skull base most commonly occur as a sequela of head trauma or they can more rarely be congenital malformations. Several types of encephalocele exist depending on anatomic features and localisation. Clinical presentation and symptoms can vary. Different methods of management and repair of the concurring skull base defects have been described and ranging vary from endoscopic to open surgical approaches. We report the case of a 56-year-old Caucasian woman with the diagnosis of right sided spontaneous transethmoidal meninoencephalocele. Clinical presentation of this rare pathology, methods of diagnostic and management and its outcome are presented. Spontaneous skull base meningoencephaloceles are rare entities, without clear underlying etiologies. Multidisciplinary management is recommended. The transnasal endoscopic approach provides a wide skull base exposure with more advantages and less morbidity in comparison with the conventional open approach. BMJ Publishing Group 2020-05-13 /pmc/articles/PMC7228147/ /pubmed/32404373 http://dx.doi.org/10.1136/bcr-2020-234703 Text en © BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Applied Basic Science Hallak, Bassel Kurzbuch, Arthur Robert Fournier, Jean-Yves Bouayed, Salim Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management |
title | Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management |
title_full | Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management |
title_fullStr | Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management |
title_full_unstemmed | Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management |
title_short | Spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management |
title_sort | spontaneous transethmoidal meningoencephalocele presenting in the form of recurrent unilateral nasal discharge: discussion of the diagnosis and endoscopic surgical management |
topic | Applied Basic Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228147/ https://www.ncbi.nlm.nih.gov/pubmed/32404373 http://dx.doi.org/10.1136/bcr-2020-234703 |
work_keys_str_mv | AT hallakbassel spontaneoustransethmoidalmeningoencephalocelepresentingintheformofrecurrentunilateralnasaldischargediscussionofthediagnosisandendoscopicsurgicalmanagement AT kurzbucharthurrobert spontaneoustransethmoidalmeningoencephalocelepresentingintheformofrecurrentunilateralnasaldischargediscussionofthediagnosisandendoscopicsurgicalmanagement AT fournierjeanyves spontaneoustransethmoidalmeningoencephalocelepresentingintheformofrecurrentunilateralnasaldischargediscussionofthediagnosisandendoscopicsurgicalmanagement AT bouayedsalim spontaneoustransethmoidalmeningoencephalocelepresentingintheformofrecurrentunilateralnasaldischargediscussionofthediagnosisandendoscopicsurgicalmanagement |