Endoscope-Assisted Trans-Sphenoidal Approach for Treatment of Sternberg's Canal.
10.3340/jkns.2012.52.6.555
- Author:
Giuliano MASELLI
1
;
Alessandro RICCI
;
Renato J GALZIO
Author Information
1. Health Sciences Department and Operative Unit of Neurosurgery, University of L'Aquila, San Salvatore Hospital, L'Aquila, Italy. giuliano.maselli@tin.it
- Publication Type:Case Report
- Keywords:
Cerebrospinal fluid;
Endoscope-assisted procedures;
Sternberg's canal
- MeSH:
Encephalocele;
Female;
Fistula;
Head;
Humans;
Magnetic Resonance Imaging;
Sphenoid Sinus;
Surgery, Computer-Assisted;
Temporal Lobe
- From:Journal of Korean Neurosurgical Society
2012;52(6):555-557
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report an uncommon case of a 45-year-old woman who presented with spontaneous rhinorrhea. A computed tomography (CT) scan of the head revealed an abnormally large sphenoid sinus associated with a parasellar bony defect (Sternberg's canal) through which magnetic resonance imaging could detect an encephalocele of the right temporal lobe. An endoscope-assisted trans-sphenoidal approach was performed and, with the aid of image guided surgery, reduction of the encephalocele was obtained and followed by surgical repair of the dural and bony defects. The postoperative course was uneventful and the cerebrospinal fluid fistula was closed as confirmed by the postoperative CT scan and by the absence of rhinorrhea. After three years of monitoring the patient remained asymptomatic.
