| Abstract | The most common site of cerebrospinal fluid (CSF) leakage is through the floor of the anterior fossa, which communicates with the ethmoid or frontal sinuses or with the nasal fossa. The sphenoid sinus is rarely implicated as a source of spontaneous CSF fistula. Transclival meningocele is an extremely rare lesion. A 36-year-old woman with a 1-year history of intermittent CSF rhinorrhea was found to have a transclival meningocele. The diagnosis of transclival meningocele was made by magnetic resonance (MR), 3-dimension-computerized tomography (CT). At operation, by a transsphenoidal approach, the transclival meningocele was packed with fasia lata graft, fat tissue, and bio-glue. This is the third case of transsphenoidal transclival meningocele producing rhinorrhea in an adult. Transclival meningocele should be taken into consideration in patients with spontaneous CSF rhinorrhea. |
| Authors | Mahmut Akyuz, Gokhan Arslan, Doga Gurkanlar, Recai Tuncer
(Affiliation: Department of Neurosurgery, Akdeniz University School of Medicine, Antalya, Turkey. mahmutakyuz at akdeniz.edu.tr)
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| Journal | Journal of neuroimaging : official journal of the American Society of Neuroimaging
(J Neuroimaging)
Vol. 18
Issue 2
Pg. 191-3
(Apr 2008)
ISSN: 1051-2284 United States |
| PMID | 18298681
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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| Topics |
- Adult
- Cerebrospinal Fluid Rhinorrhea
(diagnosis, etiology, surgery)
- Female
- Humans
- Magnetic Resonance Imaging
- Meningocele
(complications, diagnosis, surgery)
- Tomography, X-Ray Computed
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