Spontaneous Pseudomeningocele of a Sphenoid Sinus: An Case
Report

J 2015

Spontaneous Pseudomeningocele of a Sphenoid Sinus: An Case Report

HORÁKOVÁ, Zuzana, Hana BINKOVÁ and Marta PAŽOURKOVÁ

Basic information

Original name

Spontaneous Pseudomeningocele of a Sphenoid Sinus: An Case Report

Authors

HORÁKOVÁ, Zuzana, Hana BINKOVÁ and Marta PAŽOURKOVÁ

Edition

Medical Case Reports, London, iMed Pub LLC, 2015, 2471-8041

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Organization unit

Faculty of Medicine

Keywords in English

Pseudomeningocele; Sphenoidal sinus; Liquorrhea; Skull base

Abstract

V originále

Introduction: A spontaneous pseudomeningocele (PMC) (e.g.without previous surgery or injury) is a rare pathology that may be mimicked as an unilateral polypoid mass in endoscopy or as a mucocele on CT /MRI, which only very exceptionaly doesn’t present with rhinoliquorhea. PMC develops when cerebrospinal fluid (CSF) becomes trapped behind the paranasal sinus mucosa or extracranial soft tissues, and may be associated with bony erosion. Case presentation: We present an exceptional case of a 47-year-old man with a rare spontaneus pseudomeningocele of the sphenoid sinus without any obvious clinical symptoms, which resembles a mucocele on CT and MRI scans and which was first correctly diagnosed after an exploratory sphenoidotomy. Due to postsurgical complications (a significant rhinoliquorhea), an endoscopic obliteration of the sphenoid cavity was necessary. Conclusion: In the report we intend to stress the pitfalls of an exceptional skull base pathology and its surgical complications in patients with atypical manifestations. For successful treatment, a wide exposure to address all potential skull base defects and following duroplasty is recommended.The biggest challenge of spontaneous PMC is a correct diagnosis, especially when typical symptoms are absent. In the case report we want to point out the pitfalls of an endonasal surgery, which may result in another surgical revision after futher investigation.

Links

GA16-12454S, research and development project

Name: Charakterizace a modifikace komplexní odpovědi buněk nádorů hlavy a krku na různá záření - krok kupředu ke kombinované personalizované (radio)terapii

Investor: Czech Science Foundation

Citovat

HORÁKOVÁ, Zuzana, Hana BINKOVÁ and Marta PAŽOURKOVÁ. Spontaneous Pseudomeningocele of a Sphenoid Sinus: An Case Report. Medical Case Reports. London: iMed Pub LLC, 2015. ISSN 2471-8041.

@article{1373274,
   author = {Horáková, Zuzana and Binková, Hana and Pažourková, Marta},
   article_location = {London},
   keywords = {Pseudomeningocele; Sphenoidal sinus; Liquorrhea; Skull base},
   language = {eng},
   issn = {2471-8041},
   journal = {Medical Case Reports},
   title = {Spontaneous Pseudomeningocele of a Sphenoid Sinus: An Case Report},
   year = {2015}
}

TY  - JOUR
ID  - 1373274
AU  - Horáková, Zuzana - Binková, Hana - Pažourková, Marta
PY  - 2015
TI  - Spontaneous Pseudomeningocele of a Sphenoid Sinus: An Case Report
JF  - Medical Case Reports
PB  - iMed Pub LLC
SN  - 24718041
KW  - Pseudomeningocele
KW  - Sphenoidal sinus
KW  - Liquorrhea
KW  - Skull base
N2  - Introduction: A spontaneous pseudomeningocele (PMC) (e.g.without previous surgery or injury) is a rare pathology that may be mimicked as an unilateral polypoid mass in endoscopy or as a mucocele on CT /MRI, which only very exceptionaly doesn’t present with rhinoliquorhea. PMC develops when cerebrospinal fluid (CSF) becomes trapped behind the paranasal sinus mucosa or extracranial soft tissues, and may be associated with bony erosion. Case presentation: We present an exceptional case of a 47-year-old man with a rare spontaneus pseudomeningocele of the sphenoid sinus without any obvious clinical symptoms, which resembles a mucocele on CT and MRI scans and which was first correctly diagnosed after an exploratory sphenoidotomy. Due to postsurgical complications (a significant rhinoliquorhea), an endoscopic obliteration of the sphenoid cavity was necessary. Conclusion: In the report we intend to stress the pitfalls of an exceptional skull base pathology and its surgical complications in patients with atypical manifestations. For successful treatment, a wide exposure to address all potential skull base defects and following duroplasty is recommended.The biggest challenge of spontaneous PMC is a correct diagnosis, especially when typical symptoms are absent. In the case report we want to point out the pitfalls of an endonasal surgery, which may result in another surgical revision after futher investigation.
ER  -

HORÁKOVÁ, Zuzana, Hana BINKOVÁ and Marta PAŽOURKOVÁ. Spontaneous Pseudomeningocele of a Sphenoid Sinus: An Case Report. \textit{Medical Case Reports}. London: iMed Pub LLC, 2015. ISSN~2471-8041.

Detailed Information on Publication Record