Spontaneous cerebral spinal fluid rhinorrhea with meningocele secondary to congenital foramen rotundum defect: A case report and review of literature

Kyle Scott; Daryoush Tavanaiepour; Kourosh Tavanaiepour; Akaber Halawi; Dinesh Rao; Gazanfar Rahmathulla

doi:10.4103/ajns.AJNS_228_19

Asian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(01): 187-189
DOI: 10.4103/ajns.AJNS_228_19

Case Report

Spontaneous cerebral spinal fluid rhinorrhea with meningocele secondary to congenital foramen rotundum defect: A case report and review of literature

Autor*innen

Kyle Scott

Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida
Daryoush Tavanaiepour

¹Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida
Kourosh Tavanaiepour

¹Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida
Akaber Halawi

²Department of Otolaryngology, College of Medicine, University of Florida, Jacksonville, Florida
Dinesh Rao

³Department of Radiology, College of Medicine, University of Florida, Jacksonville, Florida
Gazanfar Rahmathulla

¹Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida

Abstract

Spontaneous cerebrospinal fluid (CSF) rhinorrhea is a rare occurrence. We present a case of spontaneous CSF rhinorrhea in a 57-year-old patient secondary to a sphenoid osseous defect involving the foramen rotundum and maxillary nerve with an associated arachnoid cyst and meningocele compressing the maxillary nerve. The location of the defect made correction amenable to an open skull-based approach. To the best of our knowledge, this is the first reported case of a spontaneous meningocele herniating into the sphenoid osseous defect through the medial aspect of the foramen rotundum. Early detection of these defects, open or endoscopic approaches and definitive treatment by closing the defect can result in excellent outcomes.

Key-words:

Arachnoid cyst - cerebral spinal fluid leak - meningocele - skull base defect - spontaneous rhinorrhea

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Referenzen

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