AI Article Synopsis
- Petrous apex cephalocele (PAC) is an uncommon condition, and this case report focuses on a 26-year-old man diagnosed with cerebrospinal fluid rhinorrhea that was initially misdiagnosed and improperly treated.
- After identifying a 3mm right PAC through CT cisternography, the patient successfully underwent a right subtemporal extradural approach for repair.
- This report is notable as it may be the first documented case of an adult with a cerebrospinal fluid leak due to PAC, highlighting the challenges in diagnosis and management associated with this condition.
Article Abstract
Petrous apex cephalocele (PAC) is a rare condition with very few case reports in the literature. We report a 26-year-old man with cerebrospinal fluid rhinorrhea that was misdiagnosed elsewhere and operated unsuccessfully via the endonasal route. CT cisternography revealed a 3mm right PAC for which he underwent a right subtemporal extradural approach and successful repair. We present what is to our knowledge the first case report in the literature of an adult presenting with cerebrospinal fluid leak and discuss the diagnostic dilemmas in the diagnosis of PAC, difficulties in management and review the available literature.
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| http://dx.doi.org/10.1016/j.jocn.2015.06.022 | DOI Listing |
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