Open AccessRepair of Temporosphenoidal Encephalocele with a Vascularized Split Calvarial Cranioplasty: Technical Case Report
Author(s) -
Brent L. Clyde,
Michael T. Stechison
Publication year - 1995
Publication title -
neurosurgery/neurosurgery online
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.485
H-Index - 34
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1227/00006123-199501000-00029
Subject(s) - encephalocele , medicine , cranioplasty , rhinorrhea , surgery , cerebrospinal fluid rhinorrhea , magnetic resonance imaging , skull , radiology
A 54-year-old woman was referred for the evaluation and treatment of spontaneous cerebrospinal fluid rhinorrhea. Magnetic resonance imaging revealed a right anteromedial intrasphenoidal encephalocele with cisternography showing the flow of contrast into the sphenoid encephalocele. Transcranial surgical repair was performed. This included the use of a vascularized split-thickness calvarial graft fixated over the cranial base defect with a titanium microplate. The technical details of this repair are discussed. Ten cases of temporosphenoidal encephaloceles have been reported. The literature concerning this rare form of encephalocele is reviewed.