PDF(Pubmed)
Abstract：
Sphenoid meningoencephaloceles are rare, and their treatment is challenging. In this report, we describe two clinical cases of sphenoid meningoencephalocele, in which one patient presented with a cerebrospinal fluid leak after repeated head trauma, while in the other, sphenoid meningoencephalocele was detected during the study of memory impairment as the patient was otherwise asymptomatic. The CT scans showed bony dehiscence on the lateral wall of the sphenoid sinus filled with soft tissue that was confirmed by MRI as being herniated brain tissue. A transpterygoid endoscopic endonasal approach was performed with a multilayer reconstruction of the defect with success in both cases without perioperative complications. Imaging techniques are fundamental for diagnosis and surgical planning. Treatment using an endoscopic endonasal approach is efficient with very low morbidity.
摘要：
蝶骨脑膜脑囊肿很少见，他们的治疗具有挑战性。在这份报告中,我们描述了两例蝶骨脑膜脑膨出的临床病例，其中一名患者在反复头部外伤后出现脑脊液漏，而在另一个，在记忆障碍研究期间发现蝶骨脑膜脑膨出，因为患者无症状。CT扫描显示蝶窦侧壁上充满软组织的骨裂，MRI证实为脑疝。在两种情况下都成功进行了经膜腔内镜经鼻入路，并对缺损进行了多层重建，无围手术期并发症。成像技术是诊断和手术计划的基础。使用鼻内镜方法治疗是有效的，发病率非常低。
