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Published on: January 17, 2018
Sphenoethmoidal Meningocele: Endoscopic Approach
Naoufal Ramdani1, Abdelilah Rguyeg2, Drissia Benfdil3
1Otorhinolaryngology, Centre Hospitalier Universitaire Mohammed V, Faculty of Medicine and Pharmacy, Mohamed First University, Oujda, MAR.
Abstract:
The sphenoethmoidal meningocele is a herniation of the meninges through a communication of the skull base with an aeric cavity. It means the presence of an osteomeningeal breach, which is manifested by cerebrospinal rhinorrhea and nasal obstruction. iIs diagnosis is based on a very specific radiological assessment and biology allows the dosage of certain substances to confirm the nature of the cerebrospinal fluid, such as beta-2-transferrin, Once the breach has been found, the endoscopic route exclusively allows the pathology to be treated and the defect to be reconstructed using different materials before the occurrence of serious complications such as meningitis.
Insights
Sphenoethmoidal meningoceles involve meningeal herniation through skull base defects, causing cerebrospinal fluid leaks and nasal issues. Endoscopic surgery is the primary treatment to repair the breach and prevent complications like meningitis.
Area of Science:
- Neurosurgery
- Otolaryngology
- Radiology
Background:
- Sphenoethmoidal meningocele is a skull base defect involving meningeal herniation.
- This condition can lead to cerebrospinal fluid rhinorrhea and nasal obstruction.
- Early diagnosis and treatment are crucial to prevent serious complications.

