Distant pseudomeningoceles of the ventral skull base: A report of 2 cases

Seth M. Lieberman, Rosemary B. Ojo, Roy R Casiano

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: The objective of this case series was to report what is to the best of our knowledge the first reports of nasopharyngeal and soft palate pseudomeningoceles tracking submucosally from the sphenoid sinus. Methods: Analysis of cases through medical records. Results: Two cases of middle-aged male patients presented to our tertiary care university teaching hospital for recurrent meningitis and a history of cerebrospinal fluid (CSF) rhinorrhea. Both were found to have pseudomeningoceles distant from the sphenoid sinus. One was tracking to the mucosa of the Eustachian tube, and the other to the dorsum of the soft palate. Both were found to be tracking submucosally from the sphenoid sinus, to the vidian canal, to the lateral nasopharyngeal wall, to their respective locations at the Eustachian tube and dorsum of the soft palate. CSF closure was performed with a transnasal endoscopic repair using the pedicled nasoseptal flap for 1 patient and Alloderm for the other, both with successful cessation of CSF rhinorrhea. Conclusion: We present these cases of distant spontaneous CSF leaks. We review the literature and discuss case management.

Original languageEnglish
Pages (from-to)1021-1024
Number of pages4
JournalInternational Forum of Allergy and Rhinology
Volume3
Issue number12
DOIs
StatePublished - Dec 1 2013

Fingerprint

Sphenoid Sinus
Soft Palate
Skull Base
Cerebrospinal Fluid Rhinorrhea
Eustachian Tube
Surgical Flaps
Case Management
Tertiary Healthcare
Meningitis
Teaching Hospitals
Medical Records
Cerebrospinal Fluid
Mucous Membrane

Keywords

  • CSF fistula
  • CSF rhinorrhea
  • Endoscopic CSF leak repair
  • Endoscopic sinus surgery
  • Meningocele
  • Pseudomeningocele
  • Spontaneous CSF leak

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology

Cite this

Distant pseudomeningoceles of the ventral skull base : A report of 2 cases. / Lieberman, Seth M.; Ojo, Rosemary B.; Casiano, Roy R.

In: International Forum of Allergy and Rhinology, Vol. 3, No. 12, 01.12.2013, p. 1021-1024.

Research output: Contribution to journalArticle

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