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J Neurol Surg Rep 2013; 74(02): 092-095
DOI: 10.1055/s-0033-1348956
DOI: 10.1055/s-0033-1348956
Transclival Pseudomeningocele Secondary to Ecchordosis Physaliphora: Case Report and Literature Review
Further Information
Publication History
10 April 2013
30 April 2013
Publication Date:
09 September 2013 (online)
![](https://www.thieme-connect.de/media/jnlsr/201302/lookinside/thumbnails/10.1055-s-0033-1348956-1.jpg)
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.
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References
- 1 Ahmad FU, Sharma BS, Garg A, Chandra PS. Primary spontaneous CSF rhinorrhea through the clivus: possible etiopathology. J Clin Neurosci 2008; 15 (11) 1304-1308
- 2 Alli A, Clark M, Mansell NJ. Cerebrospinal fluid rhinorrhea secondary to ecchordosis physaliphora. Skull Base 2008; 18 (6) 395-399
- 3 Macdonald RL, Cusimano MD, Deck JH, Gullane PJ, Dolan EJ. Cerebrospinal fluid fistula secondary to ecchordosis physaliphora. Neurosurgery 1990; 26 (3) 515-518 , discussion 518–519
- 4 Feng K, Qiuhang Z, Qiuyi Q. Transclival cerebrospinal fluid rhinorrhea as the initial presenting symptom of a tiny intradural chordoma. J Clin Neurosci 2010; 17 (8) 1083-1085
- 5 Rotondo M, Natale M, Mirone G, Cirillo M, Conforti R, Scuotto A. A rare symptomatic presentation of ecchordosis physaliphora: neuroradiological and surgical management. J Neurol Neurosurg Psychiatry 2007; 78 (6) 647-649
- 6 Cha ST, Jarrahy R, Yong WH, Eby T, Shahinian HK. A rare symptomatic presentation of ecchordosis physaliphora and unique endoscope-assisted surgical management. Minim Invasive Neurosurg 2002; 45 (1) 36-40
- 7 Akyuz M, Arslan G, Gurkanlar D, Tuncer R. CSF rhinorrhea from a transclival meningocele: a case report. J Neuroimaging 2008; 18 (2) 191-193
- 8 Coiteiro D, Távora L, Antunes JL. Spontaneous cerebrospinal fluid fistula through the clivus: report of two cases. Neurosurgery 1995; 37 (4) 826-828
- 9 Ramos A, García-Uría J, Ley L, Saucedo G. Transclival cerebrospinal fluid fistula in a patient with Marfan's syndrome. Acta Neurochir (Wien) 2007; 149 (7) 723-725, discussion 725
- 10 Schick B, Brors D, Goedecke A, Prescher A, Draf W. Detection of an occult transclival cerebrospinal fluid fistula by CT and MRI. Neuroradiology 1998; 40 (12) 797-799
- 11 Lockwood AH, Quencer RM, Page LK. CSF rhinorrhea from a transclival meningocele demonstrated with metrizamide CT cisternography. Case report. J Neurosurg 1980; 53 (4) 553-555
- 12 Krmpotić-Nemanić J, Vinter I, Kelovizć Z, Marusić A. Postnatal changes of the clivus. Ann Anat 2005; 187 (3) 277-280
- 13 Tokumaru AM, Barkovich AJ, Ciricillo SF, Edwards MS. Skull base and calvarial deformities: association with intracranial changes in craniofacial syndromes. AJNR Am J Neuroradiol 1996; 17 (4) 619-630
- 14 Ko AL, Gabikian P, Perkins JA, Gruber DP, Avellino AM. Endoscopic repair of a rare basioccipital meningocele associated with recurrent meningitis. J Neurosurg Pediatr 2010; 6 (2) 188-192
- 15 Morley TP, Wortzman G. The importance of the lateral extensions of the sphenoidal sinus in post-traumatic cerebrospinal rhinorrhoea and meningitis: clinical and radiological aspects. J Neurosurg 1965; 22: 326-332
- 16 Ommaya AK, Di Chiro G, Baldwin M, Pennybacker JB. Non-traumatic cerebrospinal fluid rhinorrhoea. J Neurol Neurosurg Psychiatry 1968; 31 (3) 214-225
- 17 Kaufman B, Yonas H, White RJ, Miller II CF. Acquired middle cranial fossa fistulas: normal pressure and nontraumatic in origin. Neurosurgery 1979; 5 (4) 466-472
- 18 Mehnert F, Beschorner R, Küker W, Hahn U, Nägele T. Retroclival ecchordosis physaliphora: MR imaging and review of the literature. AJNR Am J Neuroradiol 2004; 25 (10) 1851-1855
- 19 Toda H, Kondo A, Iwasaki K. Neuroradiological characteristics of ecchordosis physaliphora. Case report and review of the literature. J Neurosurg 1998; 89 (5) 830-834