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.
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。