%0 Journal Article
%T Spontaneous sphenoid sinus meningocele with associated amenorrhea and headache: illustrative case.
%A Franklin D
%A Yamani AS
%A Boyke AE
%A Menaker SA
%A Tang D
%A Mamelak AN
%J J Neurosurg Case Lessons
%V 7
%N 7
%D 2024 Feb 12
%M 38346300
暂无%R 10.3171/CASE23700
%X <B>BACKGROUND: </B>Developmental meningoceles of the sphenoid sinus are uncommon. When encountered, they are often associated with cerebrospinal fluid (CSF) rhinorrhea.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>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.