Analysis of the Causes and Experience in the Diagnosis and Treatment of Meningocele Caused by Sternberg's Canal of the Sphenoid Sinus: Two Case Reports and a Review of the Literature.
Wei YouZhen-Rong LinYu-Zhe WangWei-Wei WangRui-Sheng LinShu-Qin QiuAi-Shun GuoPublished in: Current medical imaging (2023)
CSF rhinorrhea is usually caused by secondary factors. Spontaneous CSF rhinorrhea caused by encephalocele of the skull base due to congenital dysplasia of the skull base is very rare and easily misdiagnosed. The presence of brain tissue or CSF signal in the sphenoid sinus on preoperative MR images is an important imaging feature of the disease. Conditional cisternography can be used to further detect CSF leaks. Endoscopic transnasal transsphenoidal repair of CSF leaks combined with short-term postoperative lumbar subarachnoid drainage is an effective treatment method. According to previous literature, the possible causes of meningoencephalocele with patent Sternberg's canal of the sphenoid sinus include abnormal development of the sphenoid sinus or the craniopharyngeal canal and bone defects of the skull base. There are no related reports on patent meningoencephalocele caused by Sternberg's canal in direct blood relatives, such as mother-son; therefore, the possibility of this disease having a genetic origin should be considered in future studies on its pathophysiological mechanisms.
Keyphrases
- patients undergoing
- cerebrospinal fluid
- deep learning
- ultrasound guided
- high resolution
- systematic review
- magnetic resonance
- machine learning
- minimally invasive
- white matter
- gene expression
- case report
- current status
- genome wide
- bone mineral density
- contrast enhanced
- resting state
- blood brain barrier
- cerebral ischemia
- body composition
- bone loss
- replacement therapy
- photodynamic therapy
- endoscopic submucosal dissection