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Published on: April 7, 2023
Persistent cerebrospinal fluid rhinorrhea by intrasphenoidal encephalocele
E Peltonen1, B Sedlmaier, M Brock
1Department of Neurosurgery Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Germany. elvira.peltonen@charite.de
Abstract:
The case of a 60-year-old man with a 6-month history of cerebrospinal fluid (CSF) rhinorrhea is presented. Computed tomography (CT) and magnetic resonance (MR) imaging revealed an intrasphenoidal mass extending through a bony defect of the roof of the left sphenoid sinus. Transnasal surgical repair was performed; intraoperatively the mass was identified as an intrasphenoidal encephalocele. The pathogenesis of this anomaly is analyzed, the clinical findings and the operative treatment are described, and the literature is reviewed.
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