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Giant Intradural Mucocele in a Patient with Adult Onset Seizures
E Kechagias1, N Georgakoulias, C Ioakimidou
1Department of Neurosurgery, General Hospital of Athens 'G. Gennimatas', Athens, Greece.
Case Reports in Neurology
|September 18, 2010
Summary
A rare giant fronto-ethmoidal mucopyocele caused epileptic seizures by compressing the brain. Surgical removal and skull base reconstruction were successful treatments for this extremely uncommon condition.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Mucopyoceles, particularly intracranial-intradural variants, are exceedingly rare.
- Giant fronto-ethmoidal mucopyoceles can present with neurological symptoms due to mass effect.
Observation:
- A patient presented with generalized epileptic seizures.
- Computed tomography (CT) and magnetic resonance (MR) imaging identified an intradural extension of a giant fronto-ethmoidal mucopyocele.
- The lesion eroded the cribriform plate and compressed both frontal lobes.
Findings:
- This case represents one of only seven reported instances of intracranial-intradural mucopyocele presenting with generalized convulsions.
- Surgical resection via craniotomy effectively eliminated the mass effect.
- Reconstruction of the anterior skull base was performed.
Implications:
- Intracranial-intradural mucopyocele is a rare but significant cause of seizures.
- Complete surgical excision and anterior fossa reconstruction represent the optimal treatment strategy.
- Early diagnosis through advanced imaging is crucial for effective management.
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