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首页> 外文期刊>Neurosurgery >Intrasphenoidal encephalocele associated with cerebrospinal fluid fistula and subdural hematomas: technical case report.
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Intrasphenoidal encephalocele associated with cerebrospinal fluid fistula and subdural hematomas: technical case report.

机译：蝶窦内脑膨出伴脑脊液瘘和硬膜下血肿：技术病例报告。

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摘要

OBJECTIVE AND IMPORTANCE: Intrasphenoidal encephalocele is a rare clinical entity that is often complicated by rhinorrhea, recurrent meningitis, and headache, but in no case has the association of rhinorrhea with subdural hematomas been described. A surgical procedure to stop persistent cerebrospinal fluid leakage is reported. CLINICAL PRESENTATION: A 59-year-old man sought care for intractable rhinoliquorrhea of 6 months' duration. Cranial computed tomographic and magnetic resonance imaging scans revealed a basal posterior frontal bony defect and an evocative image suggesting intrasphenoidal encephalocele. INTERVENTION: A transnasal transsphenoidal surgical procedure was performed; the encephalocele was removed, and the sphenoid sinus was filled with an inflatable pouch made of synthetic dura mater containing abdominal fat. Postoperative reduction of the rhinoliquorrhea, but not its total disappearance, was observed. Total disappearance was achieved only after endonasal, transmucosal inflation of the pouch with human fibrin glue. One of the subdural hematomas disappeared spontaneously, and the other was treated by a surgical procedure. CONCLUSION: The possible role of the presented technique in the treatment of cerebrospinal fluid leakage is discussed.
机译：目的和重要性：蝶窦内脑膨出是一种罕见的临床病因，常并发鼻漏，复发性脑膜炎和头痛，但从未见过鼻漏与硬膜下血肿的关系。据报道，有一种外科手术可以阻止持续性脑脊液漏出。临床表现：一名59岁的男性因持续6个月的顽固性鼻漏而寻求护理。颅骨计算机断层扫描和磁共振成像扫描显示基底后额骨缺损和令人回味的图像提示蝶窦内脑膨出。干预：经鼻经蝶窦手术;切除脑膨出，并在蝶窦中装满由含有腹部脂肪的合成硬脑膜制成的充气袋。术后减少了鼻漏，但未见全部消失。仅在用人纤维蛋白胶对小袋进行鼻内，经粘膜充盈后才完全消失。一种硬膜下血肿自发消失，另一种通过手术治疗。结论：讨论了该技术在治疗脑脊液漏中的可能作用。

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