Download PDF
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
Further Information

Publication History

17 July 2018

17 October 2018

Publication Date:
24 December 2018 (online)

    Permissions and Reprints

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
 

  • References

  • 1 David DJ. Cephaloceles: classification, pathology, and management—a review. J Craniofac Surg 1993; 4 (04) 192-202
    PubMedGoogle Scholar
  • 2 Guion-Almeida ML, Richieri-Costa A, Saavedra D, Cohen Jr MM. Frontonasal dysplasia: analysis of 21 cases and literature review. Int J Oral Maxillofac Surg 1996; 25 (02) 91-97
    CrossrefPubMedGoogle Scholar
  • 3 Macfarlane R, Rutka JT, Armstrong D. , et al. Encephaloceles of the anterior cranial fossa. Pediatr Neurosurg 1995; 23 (03) 148-158
    CrossrefPubMedGoogle Scholar
  • 4 Nager GT. Cephaloceles. Laryngoscope 1987; 97 (01) 77-84
    PubMedGoogle Scholar
  • 5 Kumar KK, Ganapathy K, Sumathi V, Rangachari V, Sundararajan I, Govindaraj R. Adult intranasal meningoencephalocele presenting as a nasal polyp. J Clin Neurosci 2005; 12 (05) 594-596
    CrossrefPubMedGoogle Scholar
  • 6 Mukerji SS, Parmar HA, Gujar S, Passamani P. Intranasal meningoencephalocele presenting as a nasal polyp—a case report. Clin Imaging 2011; 35 (04) 309-311
    CrossrefPubMedGoogle Scholar
  • 7 Yokota A, Matsukado Y, Fuwa I, Moroki K, Nagahiro S. Anterior basal encephalocele of the neonatal and infantile period. Neurosurgery 1986; 19 (03) 468-478
    CrossrefPubMedGoogle Scholar
  • 8 Sharifi G, Alavi E, Jalessi M, Haddadian K, Faramarzi F. Transethmoidal encephalocele after reduction of high intracranial pressure in aqueductal stenosis. Turk Neurosurg 2014; 24 (01) 75-77
    PubMedGoogle Scholar
  • 9 Schroeder HWS, Niendorf W-R, Gaab MR. Complications of endoscopic third ventriculostomy. J Neurosurg 2002; 96 (06) 1032-1040
    CrossrefPubMedGoogle Scholar
  • 10 Nyquist GG, Anand VK, Mehra S, Kacker A, Schwartz TH. Endoscopic endonasal repair of anterior skull base non-traumatic cerebrospinal fluid leaks, meningoceles, and encephaloceles. J Neurosurg 2010; 113 (05) 961-966
    CrossrefPubMedGoogle Scholar
  • 11 Ziade G, Hamdan AL, Homsi MT, Kazan I, Hadi U. Spontaneous transethmoidal meningoceles in adults: case series with emphasis on surgical management. ScientificWorldJournal 2016; 2016: 3238297
    PubMedGoogle Scholar
  • 12 Tóth M, Selivanova O, Schaefer S, Mann W. Spontaneous cerebrospinal fluid rhinorrhea: a clinical and anatomical study. Laryngoscope 2010; 120 (09) 1724-1729
    CrossrefPubMedGoogle Scholar
  • 13 Harada N, Nemoto M, Miyazaki C. , et al. Basal encephalocele in an adult patient presenting with minor anomalies: a case report. J Med Case Reports 2014; 8: 24
    CrossrefPubMedGoogle Scholar
  • 14 Kubo A, Sakata K, Maegawa J, Yamamoto I. Transethmoidal meningoencephalocele in an elderly woman. Case report. Neurol Med Chir (Tokyo) 2005; 45 (06) 322-326
    CrossrefPubMedGoogle Scholar
  • 15 Schick B, Ibing R, Brors D, Draf W. Long-term study of endonasal duraplasty and review of the literature. Ann Otol Rhinol Laryngol 2001; 110 (02) 142-147
    CrossrefPubMedGoogle Scholar
  • 16 Nishizawa S, Ohta S, Yamaguchi M. Encephalocele in the ethmoid sinus presenting as a massive intracerebral hemorrhage after a “polypectomy”: a case report. Am J Otolaryngol 2005; 26 (01) 67-70
    CrossrefPubMedGoogle Scholar
  • 17 Hasegawa T, Sugeno N, Shiga Y. , et al. Transethmoidal intranasal meningoencephalocele in an adult with recurrent meningitis. J Clin Neurosci 2005; 12 (06) 702-704
    CrossrefPubMedGoogle Scholar