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Méningo-encéphalocèle sphénoïdal chez un adulte
The incidence of sphenoid sinus meningoencephalocele is very low. It is estimated one person out of 700 000 live births. This clinical entity is rarer in adults. We here report the case of a 51-year old woman presenting with feeling of intranasal heaviness that had progressed since the young age wit...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755373/ https://www.ncbi.nlm.nih.gov/pubmed/33425152 http://dx.doi.org/10.11604/pamj.2020.37.119.25543 |
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author | Hasnaoui, Mehdi Guizani, Rihab |
author_facet | Hasnaoui, Mehdi Guizani, Rihab |
author_sort | Hasnaoui, Mehdi |
collection | PubMed |
description | The incidence of sphenoid sinus meningoencephalocele is very low. It is estimated one person out of 700 000 live births. This clinical entity is rarer in adults. We here report the case of a 51-year old woman presenting with feeling of intranasal heaviness that had progressed since the young age without rhinorrhea or nasal obstruction. She had no dysosmia or headache. She did not have a history of recurrent meningitis, skull base surgery or head trauma. Both nasal fossae were free. Computed tomography (CT) scan of the facial skeleton showed subtotal filling of the right sphenoid sinus, with spontaneously hyperdense content at places, without significant contrast enhancement associated with lysis of the lateral wall of the right sphenoid sinus. Brain and facial skeleton magnetic resonance imaging (MRI) showed dehiscence of the lateral wall of the right sphenoid sinus with herniation of the cerebrospinal fluid presenting hyposinal on T1, hypersignal on T2, cerebral parenchyma in T1 and T2 isosignal. We opted for therapeutic abstention because the patient was asymptomatic. |
format | Online Article Text |
id | pubmed-7755373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-77553732021-01-07 Méningo-encéphalocèle sphénoïdal chez un adulte Hasnaoui, Mehdi Guizani, Rihab Pan Afr Med J Images in Clinical Medicine The incidence of sphenoid sinus meningoencephalocele is very low. It is estimated one person out of 700 000 live births. This clinical entity is rarer in adults. We here report the case of a 51-year old woman presenting with feeling of intranasal heaviness that had progressed since the young age without rhinorrhea or nasal obstruction. She had no dysosmia or headache. She did not have a history of recurrent meningitis, skull base surgery or head trauma. Both nasal fossae were free. Computed tomography (CT) scan of the facial skeleton showed subtotal filling of the right sphenoid sinus, with spontaneously hyperdense content at places, without significant contrast enhancement associated with lysis of the lateral wall of the right sphenoid sinus. Brain and facial skeleton magnetic resonance imaging (MRI) showed dehiscence of the lateral wall of the right sphenoid sinus with herniation of the cerebrospinal fluid presenting hyposinal on T1, hypersignal on T2, cerebral parenchyma in T1 and T2 isosignal. We opted for therapeutic abstention because the patient was asymptomatic. The African Field Epidemiology Network 2020-10-05 /pmc/articles/PMC7755373/ /pubmed/33425152 http://dx.doi.org/10.11604/pamj.2020.37.119.25543 Text en Copyright: Mehdi Hasnaoui et al. https://creativecommons.org/licenses/by/4.0 The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Images in Clinical Medicine Hasnaoui, Mehdi Guizani, Rihab Méningo-encéphalocèle sphénoïdal chez un adulte |
title | Méningo-encéphalocèle sphénoïdal chez un adulte |
title_full | Méningo-encéphalocèle sphénoïdal chez un adulte |
title_fullStr | Méningo-encéphalocèle sphénoïdal chez un adulte |
title_full_unstemmed | Méningo-encéphalocèle sphénoïdal chez un adulte |
title_short | Méningo-encéphalocèle sphénoïdal chez un adulte |
title_sort | méningo-encéphalocèle sphénoïdal chez un adulte |
topic | Images in Clinical Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755373/ https://www.ncbi.nlm.nih.gov/pubmed/33425152 http://dx.doi.org/10.11604/pamj.2020.37.119.25543 |
work_keys_str_mv | AT hasnaouimehdi meningoencephalocelesphenoidalchezunadulte AT guizanirihab meningoencephalocelesphenoidalchezunadulte |