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Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature
Basal meningoceles are rare herniations of the meninges that tend to present unilaterally with cerebrospinal fluid rhinorrhea. Growing evidence suggests that intracranial hypertension contributes considerably to the formation of spontaneous basal meningoceles. A 50-year-old man of Middle East ethnic...
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Published in: | Journal of medical case reports 2019-03, Vol.13 (1), p.62-62, Article 62 |
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description | Basal meningoceles are rare herniations of the meninges that tend to present unilaterally with cerebrospinal fluid rhinorrhea. Growing evidence suggests that intracranial hypertension contributes considerably to the formation of spontaneous basal meningoceles.
A 50-year-old man of Middle East ethnicity presented with a 16-week history of cerebrospinal fluid rhinorrhea, short-term memory loss, and slight decline in cognitive function. We present a case of bilateral spontaneous meningoceles with bone defects in the left lateral sphenoid sinus and right anterior cribriform plate, as well as with a remodeled sella. A neuronavigation-assisted expanded endoscopic endonasal surgery was performed to resect the meningoceles. Postoperative imaging demonstrated complete resolution of the bilateral meningoceles.
This case reports the first bilateral basal spontaneous meningoceles in the literature. Furthermore, based on this case's imaging results and the literature reviewed, elevated intracranial pressure may be a determining factor behind the development of spontaneous meningoceles. |
doi_str_mv | 10.1186/s13256-018-1959-6 |
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A 50-year-old man of Middle East ethnicity presented with a 16-week history of cerebrospinal fluid rhinorrhea, short-term memory loss, and slight decline in cognitive function. We present a case of bilateral spontaneous meningoceles with bone defects in the left lateral sphenoid sinus and right anterior cribriform plate, as well as with a remodeled sella. A neuronavigation-assisted expanded endoscopic endonasal surgery was performed to resect the meningoceles. Postoperative imaging demonstrated complete resolution of the bilateral meningoceles.
This case reports the first bilateral basal spontaneous meningoceles in the literature. Furthermore, based on this case's imaging results and the literature reviewed, elevated intracranial pressure may be a determining factor behind the development of spontaneous meningoceles.</description><identifier>ISSN: 1752-1947</identifier><identifier>EISSN: 1752-1947</identifier><identifier>DOI: 10.1186/s13256-018-1959-6</identifier><identifier>PMID: 30832738</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adults ; Bilateral ; Care and treatment ; Case Report ; Case reports ; Case studies ; Cerebrospinal Fluid Rhinorrhea - etiology ; Cerebrospinal Fluid Rhinorrhea - pathology ; Cerebrospinal Fluid Rhinorrhea - surgery ; Cognitive ability ; Cognitive Dysfunction - etiology ; Complications and side effects ; Defects ; Diagnosis ; Endoscopy ; Ethnicity ; Expanded endoscopic ; Headaches ; Humans ; Hypertension ; Intracranial hypertension ; Intracranial pressure ; Lateral intrasphenoidal ; Male ; Medical imaging ; Memory Disorders - etiology ; Meningitis ; Meningocele ; Meningocele - diagnostic imaging ; Meningocele - pathology ; Meningocele - surgery ; Middle Aged ; Neural tube defects ; Neurosurgery ; Neurosurgical Procedures ; NMR ; Nuclear magnetic resonance ; Otolaryngology ; Pituitary gland ; Sinuses ; Skull ; Sphenoid Sinus - diagnostic imaging ; Sphenoid Sinus - pathology ; Sphenoid Sinus - surgery ; Spontaneous ; Surgery ; Tomography, X-Ray Computed ; Transethmoidal ; Treatment Outcome</subject><ispartof>Journal of medical case reports, 2019-03, Vol.13 (1), p.62-62, Article 62</ispartof><rights>COPYRIGHT 2019 BioMed Central Ltd.</rights><rights>Copyright © 2019. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-3b870734aa309c2b9ae3b31182374ffed44d41b100d484807254c3799ce6b3f83</citedby><cites>FETCH-LOGICAL-c591t-3b870734aa309c2b9ae3b31182374ffed44d41b100d484807254c3799ce6b3f83</cites><orcidid>0000-0003-4158-2855</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399895/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2193985558?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30832738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Radonjic, Aleksandar</creatorcontrib><creatorcontrib>Kassab, Abdul Mounem</creatorcontrib><creatorcontrib>Moldovan, Ioana D</creatorcontrib><creatorcontrib>Kilty, Shaun</creatorcontrib><creatorcontrib>Alkherayf, Fahad</creatorcontrib><title>Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature</title><title>Journal of medical case reports</title><addtitle>J Med Case Rep</addtitle><description>Basal meningoceles are rare herniations of the meninges that tend to present unilaterally with cerebrospinal fluid rhinorrhea. Growing evidence suggests that intracranial hypertension contributes considerably to the formation of spontaneous basal meningoceles.
A 50-year-old man of Middle East ethnicity presented with a 16-week history of cerebrospinal fluid rhinorrhea, short-term memory loss, and slight decline in cognitive function. We present a case of bilateral spontaneous meningoceles with bone defects in the left lateral sphenoid sinus and right anterior cribriform plate, as well as with a remodeled sella. A neuronavigation-assisted expanded endoscopic endonasal surgery was performed to resect the meningoceles. Postoperative imaging demonstrated complete resolution of the bilateral meningoceles.
This case reports the first bilateral basal spontaneous meningoceles in the literature. Furthermore, based on this case's imaging results and the literature reviewed, elevated intracranial pressure may be a determining factor behind the development of spontaneous meningoceles.</description><subject>Adults</subject><subject>Bilateral</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Cerebrospinal Fluid Rhinorrhea - etiology</subject><subject>Cerebrospinal Fluid Rhinorrhea - pathology</subject><subject>Cerebrospinal Fluid Rhinorrhea - surgery</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - etiology</subject><subject>Complications and side effects</subject><subject>Defects</subject><subject>Diagnosis</subject><subject>Endoscopy</subject><subject>Ethnicity</subject><subject>Expanded endoscopic</subject><subject>Headaches</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Intracranial hypertension</subject><subject>Intracranial pressure</subject><subject>Lateral intrasphenoidal</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Memory Disorders - 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etiology</topic><topic>Cerebrospinal Fluid Rhinorrhea - pathology</topic><topic>Cerebrospinal Fluid Rhinorrhea - surgery</topic><topic>Cognitive ability</topic><topic>Cognitive Dysfunction - etiology</topic><topic>Complications and side effects</topic><topic>Defects</topic><topic>Diagnosis</topic><topic>Endoscopy</topic><topic>Ethnicity</topic><topic>Expanded endoscopic</topic><topic>Headaches</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Intracranial hypertension</topic><topic>Intracranial pressure</topic><topic>Lateral intrasphenoidal</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Memory Disorders - etiology</topic><topic>Meningitis</topic><topic>Meningocele</topic><topic>Meningocele - diagnostic imaging</topic><topic>Meningocele - pathology</topic><topic>Meningocele - surgery</topic><topic>Middle Aged</topic><topic>Neural tube defects</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Otolaryngology</topic><topic>Pituitary gland</topic><topic>Sinuses</topic><topic>Skull</topic><topic>Sphenoid Sinus - diagnostic imaging</topic><topic>Sphenoid Sinus - pathology</topic><topic>Sphenoid Sinus - surgery</topic><topic>Spontaneous</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Transethmoidal</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Radonjic, Aleksandar</creatorcontrib><creatorcontrib>Kassab, Abdul Mounem</creatorcontrib><creatorcontrib>Moldovan, Ioana D</creatorcontrib><creatorcontrib>Kilty, Shaun</creatorcontrib><creatorcontrib>Alkherayf, Fahad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medicine (ProQuest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database (ProQuest)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Health Management Database (ProQuest)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals (DOAJ)</collection><jtitle>Journal of medical case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Radonjic, Aleksandar</au><au>Kassab, Abdul Mounem</au><au>Moldovan, Ioana D</au><au>Kilty, Shaun</au><au>Alkherayf, Fahad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature</atitle><jtitle>Journal of medical case reports</jtitle><addtitle>J Med Case Rep</addtitle><date>2019-03-05</date><risdate>2019</risdate><volume>13</volume><issue>1</issue><spage>62</spage><epage>62</epage><pages>62-62</pages><artnum>62</artnum><issn>1752-1947</issn><eissn>1752-1947</eissn><abstract>Basal meningoceles are rare herniations of the meninges that tend to present unilaterally with cerebrospinal fluid rhinorrhea. Growing evidence suggests that intracranial hypertension contributes considerably to the formation of spontaneous basal meningoceles.
A 50-year-old man of Middle East ethnicity presented with a 16-week history of cerebrospinal fluid rhinorrhea, short-term memory loss, and slight decline in cognitive function. We present a case of bilateral spontaneous meningoceles with bone defects in the left lateral sphenoid sinus and right anterior cribriform plate, as well as with a remodeled sella. A neuronavigation-assisted expanded endoscopic endonasal surgery was performed to resect the meningoceles. Postoperative imaging demonstrated complete resolution of the bilateral meningoceles.
This case reports the first bilateral basal spontaneous meningoceles in the literature. Furthermore, based on this case's imaging results and the literature reviewed, elevated intracranial pressure may be a determining factor behind the development of spontaneous meningoceles.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>30832738</pmid><doi>10.1186/s13256-018-1959-6</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-4158-2855</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adults Bilateral Care and treatment Case Report Case reports Case studies Cerebrospinal Fluid Rhinorrhea - etiology Cerebrospinal Fluid Rhinorrhea - pathology Cerebrospinal Fluid Rhinorrhea - surgery Cognitive ability Cognitive Dysfunction - etiology Complications and side effects Defects Diagnosis Endoscopy Ethnicity Expanded endoscopic Headaches Humans Hypertension Intracranial hypertension Intracranial pressure Lateral intrasphenoidal Male Medical imaging Memory Disorders - etiology Meningitis Meningocele Meningocele - diagnostic imaging Meningocele - pathology Meningocele - surgery Middle Aged Neural tube defects Neurosurgery Neurosurgical Procedures NMR Nuclear magnetic resonance Otolaryngology Pituitary gland Sinuses Skull Sphenoid Sinus - diagnostic imaging Sphenoid Sinus - pathology Sphenoid Sinus - surgery Spontaneous Surgery Tomography, X-Ray Computed Transethmoidal Treatment Outcome |
title | Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature |
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