1. Transcranial extradural subtemporal repair for sphenoid sinus lateral recess meningoencephalocele: technical note
- Author
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Matteo Trimarchi, Pietro Mortini, Nicola Boari, Miryam Cannizzaro, Francesco Calvanese, Alfio Spina, Pierfrancesco De Domenico, Spina, A., Boari, N., Calvanese, F., De Domenico, P., Cannizzaro, M., Trimarchi, M., and Mortini, P.
- Subjects
medicine.medical_specialty ,Sphenoid Sinus ,Rhinorrhea ,medicine.medical_treatment ,Middle cranial fossa ,Meningocele ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Sphenoid Bone ,otorhinolaryngologic diseases ,medicine ,Humans ,Cranial base ,Craniotomy ,Sinus (anatomy) ,Encephalocele ,Skull Base ,rhinorrhea ,Cerebrospinal fluid leak ,business.industry ,Meninges ,Transcranial surgery ,Meningoencephalocele ,General Medicine ,medicine.disease ,Surgery ,Lateral recess ,Skull ,medicine.anatomical_structure ,Neurology (clinical) ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Cranial meningoencephalocele is a rare condition consisting of the herniation of meninges, CSF, and brain tissue through a cranial or skull base defect. Sphenoid sinus lateral recess meningoencephalocele is of particular interest due to the complex anatomy surrounding the bone defect and their demanding surgical management. In this technical note, we reported a step-by-step description of a rare case of sphenoid sinus lateral recess meningoencephalocele causing headache due to recurrent cerebrospinal fluid leak treated with a subtemporal craniotomy with extradural middle cranial fossa drilling and meningoencephalocele removal with multilayer reconstruction. The transcranial route is a safe and effective treatment for sphenoid sinus lateral recess meningoencephalocele repair. The subtemporal extradural approach allows for an optimal exposure of the relevant anatomy minimizing risks and improving the possibility to perform an effective multilayer skull base reconstruction.
- Published
- 2021