We describe a 52-year-old woman who presented with meningitis secondary to a pseudomeningocele within the sphenoid sinus derived from a bony defect in the clivus. The bony defect was radiologically characteristic of an ecchordosis physaliphora (EP). She underwent surgical repair of the defect and had resolution of her symptoms. This case report will discuss the second case of transclival pseudomeningocele in the English literature and present EP as a cause.
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http://dx.doi.org/10.1055/s-0033-1348956 | DOI Listing |
Oper Neurosurg (Hagerstown)
October 2023
Department of Neurosurgery, NYU Langone Health, New York, New York, USA.
Indications Corridor And Limits Of Exposure: The extreme lateral approach is useful for both extradural and intradural anterior and anterolateral lesions at the lower clivus down to the level of C2.
Anatomic Essentials Need For Preoperative Planning And Assessment: The patient is evaluated with MRI, computed tomography (CT), and an angiogram. Special attention is given to vascular (vertebral artery course, dominance, tumor feeders) and bony (occipital condyle, jugular tubercle, foramen magnum and extent of bony involvement) anatomy.
J Neurol Surg Rep
December 2013
Division of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada.
We describe a 52-year-old woman who presented with meningitis secondary to a pseudomeningocele within the sphenoid sinus derived from a bony defect in the clivus. The bony defect was radiologically characteristic of an ecchordosis physaliphora (EP). She underwent surgical repair of the defect and had resolution of her symptoms.
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