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J Neurol Surg Rep 2013; 74(02): 092-095
DOI: 10.1055/s-0033-1348956
Georg Thieme Verlag KG Stuttgart · New York

Transclival Pseudomeningocele Secondary to Ecchordosis Physaliphora: Case Report and Literature Review

Sakshi Kaul
1   Division of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada
,
Osaama H. Khan
1   Division of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada
,
Idara Edem
1   Division of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada
,
Shelley Lwu
1   Division of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada
,
Robert Willinsky
2   Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada
,
Allen Vescan
3   Department of Otolaryngology, Mount Sinai Hospital, Toronto, Ontario, Canada
,
Gelareh Zadeh
1   Division of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada
› Author Affiliations
Further Information

Publication History

10 April 2013

30 April 2013

Publication Date:
09 September 2013 (online)

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Abstract

We describe a 52-year-old woman who presented with meningitis secondary to a pseudomeningocele within the sphenoid sinus derived from a bony defect in the clivus. The bony defect was radiologically characteristic of an ecchordosis physaliphora (EP). She underwent surgical repair of the defect and had resolution of her symptoms. This case report will discuss the second case of transclival pseudomeningocele in the English literature and present EP as a cause.

Keywords

ecchordosis physaliphora - clivus defect - pseudomeningocele - meningitis - transsphenoidal endoscopic surgery
 

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