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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
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Publikationsverlauf

10. April 2013

30. April 2013

Publikationsdatum:
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
 

  • 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
    CrossrefPubMedGoogle Scholar
  • 2 Alli A, Clark M, Mansell NJ. Cerebrospinal fluid rhinorrhea secondary to ecchordosis physaliphora. Skull Base 2008; 18 (6) 395-399
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 8 Coiteiro D, Távora L, Antunes JL. Spontaneous cerebrospinal fluid fistula through the clivus: report of two cases. Neurosurgery 1995; 37 (4) 826-828
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 12 Krmpotić-Nemanić J, Vinter I, Kelovizć Z, Marusić A. Postnatal changes of the clivus. Ann Anat 2005; 187 (3) 277-280
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 16 Ommaya AK, Di Chiro G, Baldwin M, Pennybacker JB. Non-traumatic cerebrospinal fluid rhinorrhoea. J Neurol Neurosurg Psychiatry 1968; 31 (3) 214-225
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar