跳至主要内容

CSF Rhinorrhoea with Encephalocele through Sternberg’s Canal: Our Experience

Read  full  paper  at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53533#.VMdOsSzQrzE

ABSTRACT
Spontaneous cerebrospinal fluid rhinorrhoea with encephalocele restricted to the sphenoid sinus is rare clinical finding. As of today, only 17 cases encephalocele protruding through the Sternberg’s canal and extending into the lateral recess of sphenoid sinus, have been described in literature. Patients presenting with this special clinical entity usually do not have any history of trauma, tumour or iatrogenic injury. Thus the lesions are considered to originate from a congenital bony defect in the lateral wall of the sphenoid sinus, first described by Sternberg in 1888 as the lateral craniopharyngeal canal (Sternberg’s canal). In our experience each patient of spontaneous CSF rhinorrhea should have suspicion of intrasphenoid encephalocele though cribriform plate is a common site. Endoscopic tranasnasal approach is one of the best modalities for such cases.
 
Cite this paper
Hanwate, R. , Thorawade, V. , Jagade, M. , Attakil, A. , Parelkar, K. , Pandare, M. , Natraj, R. and Kar, R. (2015) CSF Rhinorrhoea with Encephalocele through Sternberg’s Canal: Our Experience. International Journal of Otolaryngology and Head & Neck Surgery, 4, 50-54. doi: 10.4236/ijohns.2015.41009.
 
References
[1]Buchfelder, M., Fahlbusch, I., Huk, W.J. and Thierauf, P. (1987) Intrasphenoidal Encephalocele—A Clinical Entity. Acta Neurochirurgica, 89, 10-15. http://dx.doi.org/10.1007/BF01406661
 
[2]Blaivie, C., Lequeux, T., Kampouridis, S., Louryan, S. and Saussez, S. (2006) Congenital Transsphenoidal Meningocele: Case Report and Review of the Literature. American Journal of Otolaryngology, 27, 422-444. http://dx.doi.org/10.1016/j.amjoto.2006.01.011
 
[3]Schick, B., Brors, D. and Prescher, A. (2000) Sternberg’s Canal—Cause of Congenital Sphenoidal Meningocele. European Archives of Oto-Rhino-Laryngology, 257, 430-432.
http://dx.doi.org/10.1007/s004050000235
 
[4]Buchfelder, M., Fahlbusch, R., Huk, W.J. and Thierauf, P. (1987) Intrasphenoidal Encephaloceles—A Clinical Entity. Acta Neurochirurgica, 89, 10-15. http://dx.doi.org/10.1007/BF01406661
 
[5]Kwon, J.E. and Kim, E. (2010) Middle Fossa Approach to a Temporosphenoidal Encephalocele. Technical Note. Neurologia Medico-Chirurgica, 50, 434-438. http://dx.doi.org/10.2176/nmc.50.434
 
[6]Lopatin, A.S., Kapitanov, D.N. and Potapov, A.A. (2003) Endonasal Endoscopic Repair of Spontaneous Cerebrospinal Fluid Leaks. Archives of Otolaryngology—Head and Neck Surgery, 129, 859-863.
http://dx.doi.org/10.1001/archotol.129.8.859
 
[7]Wang, J., Bidari, S., Inoue, K., Yang, H. and Rhoton Jr., A. (2010) Extensions of the Sphenoid Sinus: A New Classification. Neurosurgery, 66, 797-816.
http://dx.doi.org/10.1227/01.NEU.0000367619.24800.B1
 
[8]Lewin, J.S., Curtin, H.D., Eelkema, E. and Obuchowski, N. (1999) Benign Expansile Lesions of the Sphenoid Sinus: Differentiation from Normal Asymmetry of the Lateral Recesses. American Journal of Neuroradiology, 20, 461-466.
 
[9]Tabaee, A., Anand, V.K., Cappabianca, P., Stamm, A., Esposito, F. and Schwartz, T.H. (2010) Endoscopic Management of Spontaneous Meningoencephalocele of the Lateral Sphenoid Sinus. Journal of Neurosurgery, 112, 1070-1077. http://dx.doi.org/10.3171/2009.7.JNS0842
 
[10]Schlosser, R.J. and Bolger, W.E. (2003) Significance of Empty Sella in Cerebrospinal Fluid Leaks. Otolaryngology— Head and Neck Surgery, 128, 32-38. http://dx.doi.org/10.1067/mhn.2003.43
 
[11]Rhoton Jr., A.L. (2002) The Sellar Region. Neurosurgery, 51, S335-S374.
http://dx.doi.org/10.1097/00006123-200210001-00009
 
[12]Ciobanu, I.C., Motoc, A., Jianu, A.M., Cergan, R., Banu, M.A. and Rusu, M.C. (2009) The Maxillary Recess of the Sphenoid Sinus. Romanian Journal of Morphology and Embryology, 50, 487-489.
 
[13]Lai, S.Y., Kennedy, D.W. and Bolger, W.E. (2002) Sphenoid Encephaloceles: Disease Management and Identification of Lesions within the Lateral Recess of the Sphenoid Sinus. The Laryngoscope, 112, 1800-1805. http://dx.doi.org/10.1097/00005537-200210000-00018
 
[14]Devi, B.I., Panigrahi, M.K., Shenoy, S., Vajramani, G., Das, B.S. and Jayakumar, P.N. (1999) CSF Rhinorrhoea from Unusual Site: Report of Two Cases. Neurology India, 47, 152-154.
 
[15]Nemzek, W.R., Brodie, H.A., Hecht, S.T., Chong, B.W., Babcook, C.J. and Seibert, J.A. (2000) MR, CT, and Plain Film Imaging of the Developing Skull Base in Fetal Specimens. AJNR American Journal of Neuroradiology, 21, 1699-1706.
 
[16]Schick, B., Brors, D. and Prescher, A. (2000) Sternberg’s Canal—Cause of Congenital Sphenoidal Meningocele. European Archives of Oto-Rhino-Laryngology, 257, 430-432.
http://dx.doi.org/10.1007/s004050000235
 
[17]Castelnuovo, P., Dallan, I., Pistochini, A., Battaglia, P., Locatelli, D. and Bignami, M. (2007) Endonasal Endoscopic Repair of Sternberg’s Canal Cerebrospinal Fluid Leaks. Laryngoscope, 117, 345-349.
http://dx.doi.org/10.1097/01.mlg.0000251452.90657.3a
 
[18]Arai, A., Mizukawa, K., Nishihara, M., Fujita, A., Hosoda, K. and Kohmura, E. (2010) Spontaneous Cerebrospinal Fluid Rhinorrhea Associated with a Far Lateral Temporal Encephalocele—Case Report. Neurologia Medico-Chirurgica, 50, 243-245.
 
[19]Wind, J.J., Caputy, A.J. and Roberti, F. (2008) Spontaneous Encephaloceles of the Temporal Lobe. Neurosurgical Focus, 25, E11. http://dx.doi.org/10.3171/FOC.2008.25.12.E11
 
[20]Ohkawa, T., Nakao, N., Uematsu, Y. and Itakura, T. (2010) Temporal Lobe Encephalocele in the Lateral Recess of the Sphenoid Sinus Presenting with Intraventricular Tension Pneumocephalus. Skull Base, 20, 481-486. http://dx.doi.org/10.1055/s-0030-1261261                                                                         eww150127lx
标签：

评论

发表评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...
发表评论
阅读全文

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...
发表评论
阅读全文