Transcranial extradural subtemporal repair for sphenoid sinus lateral recess meningoencephalocele: technical note.

Neurosurg Rev

Department of Neurosurgery and Gamma Knife Radiosurgery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Via Olgettina, 60, 20132, Milan, Italy.

Published: February 2022

AI Article Synopsis

  • Cranial meningoencephalocele is a rare condition where the meninges, cerebrospinal fluid (CSF), and brain tissue bulge out through a defect in the skull.
  • Sphenoid sinus lateral recess meningoencephalocele presents unique challenges due to complex surrounding anatomy, requiring careful surgical management.
  • This case study discusses a successful treatment using a subtemporal craniotomy to remove the meningoencephalocele and reconstruct the skull base, which proved to be a safe and effective method.

Article Abstract

Cranial meningoencephalocele is a rare condition consisting of the herniation of meninges, CSF, and brain tissue through a cranial or skull base defect. Sphenoid sinus lateral recess meningoencephalocele is of particular interest due to the complex anatomy surrounding the bone defect and their demanding surgical management. In this technical note, we reported a step-by-step description of a rare case of sphenoid sinus lateral recess meningoencephalocele causing headache due to recurrent cerebrospinal fluid leak treated with a subtemporal craniotomy with extradural middle cranial fossa drilling and meningoencephalocele removal with multilayer reconstruction. The transcranial route is a safe and effective treatment for sphenoid sinus lateral recess meningoencephalocele repair. The subtemporal extradural approach allows for an optimal exposure of the relevant anatomy minimizing risks and improving the possibility to perform an effective multilayer skull base reconstruction.

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Source
http://dx.doi.org/10.1007/s10143-021-01581-7DOI Listing

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