Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Endoscope-Assisted Trans-Sphenoidal Approach for Treatment of Sternberg's Canal

  • Maselli, Giuliano (Health Sciences Department and Operative Unit of Neurosurgery, University of L'Aquila, San Salvatore Hospital) ;
  • Ricci, Alessandro (Operative Unit of Neurosurgery, San Salvatore Hospital) ;
  • Galzio, Renato J. (Health Sciences Department and Operative Unit of Neurosurgery, University of L'Aquila, San Salvatore Hospital)
  • Received : 2011.12.25
  • Accepted : 2012.12.14
  • Published : 2012.12.28
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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.

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References

  1. Albernaz MS, Horton WD, Adkins WY, Garen PD : Intrasphenoidal encephalocele. Otolaryngol Head Neck Surg 104 : 279-281, 1991 https://doi.org/10.1177/019459989110400222
  2. Baranano CF, Cure J, Palmer JN, Woodworth BA : Sternberg's canal : fact or fiction? Am J Rhinol Allergy 23 : 167-171, 2009 https://doi.org/10.2500/ajra.2009.23.3290
  3. Buchfelder M, Fahlbusch R, Huk WJ, Thierauf P : Intrasphenoidal encephaloceles--a clinical entity. Acta Neurochir (Wien) 89 : 10-15, 1987 https://doi.org/10.1007/BF01406661
  4. Castelnuovo P, Dallan I, Pistochini A, Battaglia P, Locatelli D, Bignami M : Endonasal endoscopic repair of Sternberg's canal cerebrospinal fluid leaks. Laryngoscope 117 : 345-349, 2007 https://doi.org/10.1097/01.mlg.0000251452.90657.3a
  5. Catala M : [Embryology of the sphenoid bone]. J Neuroradiol 30 : 196-200, 2003
  6. Cheung DK, Attia EL, Kirkpatrick DA, Marcarian B, Wright B : An anatomic and CT scan study of the lateral wall of the sphenoid sinus as related to the transnasal transethmoid endoscopic approach. J Otolaryngol 22 : 63-68, 1993
  7. DeBartolo HM, Vrabec D : Sphenoid encephalocele : report of a case. Arch Otolaryngol 103 : 172-174, 1977 https://doi.org/10.1001/archotol.1977.00780200098012
  8. Landreneau FE, Mickey B, Coimbra C : Surgical treatment of cerebrospinal fluid fistulae involving lateral extension of the sphenoid sinus. Neurosurgery 42 : 1101-1104; discussion 1104-1105, 1998 https://doi.org/10.1097/00006123-199805000-00087
  9. Lopatin AS, Kapitanov DN, Potapov AA : Endonasal endoscopic repair of spontaneous cerebrospinal fluid leaks. Arch Otolaryngol Head Neck Surg 129 : 859-863, 2003 https://doi.org/10.1001/archotol.129.8.859
  10. Myssiorek D, Cohen NL : Intrasphenoidal meningoencephalocele : a case report. Am J Otolaryngol 8 : 391-394, 1987 https://doi.org/10.1016/S0196-0709(87)80026-1
  11. Pasquini E, Sciarretta V, Farneti G, Mazzatenta D, Modugno GC, Frank G : Endoscopic treatment of encephaloceles of the lateral wall of the sphenoid sinus. Minim Invasive Neurosurg 47 : 209-213, 2004 https://doi.org/10.1055/s-2004-818522
  12. Schick B, Brors D, Prescher A : Sternberg's canal--cause of congenital sphenoidal meningocele. Eur Arch Otorhinolaryngol 257 : 430-432, 2000 https://doi.org/10.1007/s004050000235
  13. Shetty PG, Shroff MM, Fatterpekar GM, Sahani DV, Kirtane MV : A retrospective analysis of spontaneous sphenoid sinus fistula : MR and CT findings. AJNR Am J Neuroradiol 21 : 337-342, 2000
  14. Tomazic PV, Stammberger H : Spontaneous CSF-leaks and meningoencephaloceles in sphenoid sinus by persisting Sternberg's canal. Rhinology 47 : 369-374, 2009

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