재발성 뇌척수액 비루 및 뇌수막염을 일으킨 자발성 전두동 수막류 1례
A Case of Spontaneous Meningocele of the Frontal Sinus Causing Recurrent Cerebrospinal Fluid Rhinorrhea and Meningitis
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Meningocele is a bulging of the meninges through a defect in the skull or spine, forming a cystic structure filled with cerebrospinal fluid (CSF) and devoid of neural tissues. If left untreated, meningocele with CSF leakage can lead to potentially life-threatening complications such as recurrent meningitis. We report a case of spontaneous meningocele in the frontal sinus treated with endoscopic excision and reconstruction of the skull base. A 44-year-old male, with no previous history of trauma, presented with recurrent watery rhinorrhea from the right nasal cavity. An magnetic resonance imaging (MRI), conducted during treatment for recurrent meningitis, revealed a protruding mass in the right frontal sinus. Exploratory endoscopic sinus surgery exposed a meningocele with cerebrospinal fluid leakage. The meningocele was successfully treated with no signs of recurrence.
Abstract
Meningocele is a bulging of the meninges through a defect in the skull or spine, forming a cystic structure filled with cerebrospinal fluid (CSF) and devoid of neural tissues. If left untreated, meningocele with CSF leakage can lead to potentially life-threatening complications such as recurrent meningitis. We report a case of spontaneous meningocele in the frontal sinus treated with endoscopic excision and reconstruction of the skull base. A 44-year-old male, with no previous history of trauma, presented with recurrent watery rhinorrhea from the right nasal cavity. An magnetic resonance imaging (MRI), conducted during treatment for recurrent meningitis, revealed a protruding mass in the right frontal sinus. Exploratory endoscopic sinus surgery exposed a meningocele with cerebrospinal fluid leakage. The meningocele was successfully treated with no signs of recurrence.
참고문헌 (15)
- Matos Cruz AJ, "StatPearls", StatPearls
- Schlosser RJ, "Management of multiple spontaneous nasal meningoencephaloceles", Laryngoscope, 112(6), pp.980~985 (2002)
- Bhat M, "A case of intranasal meningocele", McGill J Med, 9(1), pp.31~33 (2006)
- Tirumandas M, "Nasal encephaloceles : a review of etiology, pathophysiology, clinical presentations, diagnosis, treatment, and complications", Childs Nerv Syst, 29(5), pp.739~744 (2013)
- Rahbar R, "Nasal glioma and encephalocele : diagnosis and management", Laryngoscope, 113(12), pp.2069~2077 (2003)
- Alberts A, "Craniofacial encephalocele : updates on management", J Integr Neurosci, 22(3), pp.79~ (2023)
- Yun DH, "A case of encephalomeningocele presenting with cerebrospinal fluid rhinorrhea : endoscopic endonasal removal with repair", Korean J Otolaryngol Head Neck Surg, 42(3), pp.373~376 (1999)
- Knappe LB, "Frontal sinus meningoencephalocele presenting with spontaneous cerebrospinal fluid leak", Otolaryngol Case Rep, 21, pp.100353~ (2021)
- Ziade G, "Spontaneous transethmoidal meningoceles in adults : case series with emphasis on surgical management", Sci World J, 2016, pp.3238297~ (2016)
- Pianta L, "Imaging in treatment planning for sinonasal diseases. Medical radiology", pp.93~106 (2005), Springer
- Aydin MD, "Intranasal encephalocele : a case report", Turk J Med Sci, 33, pp.191~194 (2003)
- Spina A, "Transcranial extradural subtemporal repair for sphenoid sinus lateral recess meningoencephalocele : technical note", Neurosurg Rev, 45(1), pp.903~909 (2022)
- Komotar RJ, "Endoscopic endonasal versus open repair of anterior skull base CSF leak, meningocele, and encephalocele : a systematic review of outcomes", J Neurol Surg A Cent Eur Neurosurg, 74(4), pp.239~250 (2013)
- Lee CY, "A case of intranasal meningoencephalocele", Korean J Otolaryngol Head Neck Surg, pp.141~146 (1997)
- Abdel-Aziz M, "Nasal encephalocele : endoscopic excision with anesthetic consideration", Int J Pediatr Otorhinolaryngol, 74(8), pp.869~873 (2010)