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http://dx.doi.org/10.3340/jkns.2012.52.6.555

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)
Publication Information
Journal of Korean Neurosurgical Society / v.52, no.6, 2012 , pp. 555-557 More about this Journal
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.
Keywords
Cerebrospinal fluid; Endoscope-assisted procedures; Sternberg's canal;
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