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J Neurol Surg A Cent Eur Neurosurg 2019; 80(02): 138-140
DOI: 10.1055/s-0038-1676621
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Cerebrospinal Fluid Rhinorrhea due to Transethmoidal Encephalocele Following Occipital Meningioma Resection in an Adult: A Case Report

Tomáš Radovnický
1   Department of Neurosurgery, J. E. Purkyne University, Masaryk Hospital, Usti nad Labem, Czech Republic
,
Robert Bartoš
1   Department of Neurosurgery, J. E. Purkyne University, Masaryk Hospital, Usti nad Labem, Czech Republic
,
Petr Vachata
1   Department of Neurosurgery, J. E. Purkyne University, Masaryk Hospital, Usti nad Labem, Czech Republic
,
Martin Sameš
1   Department of Neurosurgery, J. E. Purkyne University, Masaryk Hospital, Usti nad Labem, Czech Republic
› Author Affiliations
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Publication History

17 July 2018

17 October 2018

Publication Date:
24 December 2018 (online)

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Abstract

Transethmoidal encephalocele is a rare condition in adult patients. It is usually diagnosed during childhood by cerebrospinal fluid (CSF) rhinorrhea, meningitis, a nasal mass, or seizures. We present a case of an adult woman with CSF rhinorrhea following resection of an occipital meningioma. The cribriform plate defect containing the encephalocele was diagnosed by computed tomography and magnetic resonance imaging. Transcranial surgery using a patch was performed successfully. We also discuss the possible pathophysiologic mechanisms of encephalocele and treatment options.

Keywords

rhinorrhea - encephalocele - transethmoidal
 

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