PDF(Pubmed)
Abstract：
BACKGROUND: Developmental meningoceles of the sphenoid sinus are uncommon. When encountered, they are often associated with cerebrospinal fluid (CSF) rhinorrhea.
METHODS: The authors present the case of a 27-year-old female with a large meningocele eroding through the sella turcica and sphenoid sinus into the nasopharynx. The patient presented with intractable headaches and amenorrhea without CSF rhinorrhea.
CONCLUSIONS: The patient underwent an endoscopic endonasal transsphenoidal reduction of the meningocele with reelevation of the pituitary gland and skull base reconstruction with abdominal fat graft and nasoseptal flap.
METHODS: The authors present the case of a 27-year-old female with a large meningocele eroding through the sella turcica and sphenoid sinus into the nasopharynx. The patient presented with intractable headaches and amenorrhea without CSF rhinorrhea.
CONCLUSIONS: The patient underwent an endoscopic endonasal transsphenoidal reduction of the meningocele with reelevation of the pituitary gland and skull base reconstruction with abdominal fat graft and nasoseptal flap.
摘要：
背景：蝶窦发育性脑膜膨出并不常见。遇到时,它们通常与脑脊液（CSF）鼻漏有关。
方法：作者介绍了一例27岁的女性，患有大的脑膜膨出，通过蝶鞍和蝶窦进入鼻咽部。患者出现顽固性头痛和闭经，无脑脊液鼻漏。
结论：患者接受了内镜下经鼻蝶入路脑膜膨出复位术，并重新抬高垂体，并使用腹部脂肪移植和鼻中隔皮瓣进行颅底重建。
方法：作者介绍了一例27岁的女性，患有大的脑膜膨出，通过蝶鞍和蝶窦进入鼻咽部。患者出现顽固性头痛和闭经，无脑脊液鼻漏。
结论：患者接受了内镜下经鼻蝶入路脑膜膨出复位术，并重新抬高垂体，并使用腹部脂肪移植和鼻中隔皮瓣进行颅底重建。
