Lateral sphenoid sinus recess cerebrospinal fluid leak: a case series

Melo, Nelson Almeida d’Ávila; Borges, Bruno Barros Pinto; Filho, Pedro Augusto Magliarelli; Godoy, Maria Dantas Costa Lima; Pereira, Larissa Vilela; Pinna, Fábio de Rezende; Voegels, Richard Louis

doi:10.1007/s00405-014-3049-8

Cited by 28 publications

(35 citation statements)

References 14 publications

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“…Independently, meningoencephaloceles or encephaloceles were associated with primary leaks in 17 studies 12,17,24,30,34,38,40,44,49,53,75,82,98,101,102,104,108 or 192 primary leaks. The distribution of the primary etiology for secondary leaks (the source of the primary leak that recurred) was available for 51 studies 4,6,9,11,12,14,17,21,23,27,29,31–40,43,45–49,52–54,56,57,59,62,65,66,68,71,72,76,80,81,86,89–91,94,…”

Section: Csf Leak Characteristicsmentioning

confidence: 99%

A Systematic Review of Secondary Cerebrospinal Fluid Leaks

Konuthula

Khan

Signore

et al. 2017

Am J Rhinol�Allergy

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Section: Csf Leak Characteristicsmentioning

confidence: 99%

A Systematic Review of Secondary Cerebrospinal Fluid Leaks

Konuthula

Khan

Signore

et al. 2017

Am J Rhinol�Allergy

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“…Other common pathologies such as meningocele/meningoencephalocele,[42] osteomas,[43] lymphoma,[44] metastasis,[45] other cancers,[4647] and rare pathologies such as inverted papillomas,[48] epidermoids,[49] melanoma,[50] myxoma,[51] esthesioneuroblastoma,[52] trigeminal schwannoma,[53] and many others have been described. The sphenoid sinus may be the starting point for primary malignant tumors of different histological types.…”

Section: Discussionmentioning

confidence: 99%

Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies

Sadashiva

Nandeesh

Shukla

et al. 2017

Journal of Neurosciences in Rural Practice

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Introduction:The sphenoid sinus is often neglected because of its difficult access. The deep position of the sphenoid sinus hinders early diagnosis of pathologies in that location. Delayed diagnosis can cause serious complications due to proximity to many important structures.Objectives:The aim of this study is to demonstrate different pathologies which can affect the sphenoid sinus and elucidate the findings.Methods:Cases of isolated sphenoid sinus lesions encountered in the neurosurgical setting which had rare pathologies are discussed. Pathologies such as Langerhans cell histiocytosis, solitary plasmacytoma, chordoma, pituitary adenoma, leiomyosarcoma, fungal infection, and mucocele which appeared primarily in sphenoid sinus are discussed along with their imaging features and pathological findings.Conclusion:Multitude of different pathologies can occur in sphenoid sinus. Detailed preoperative imaging is very helpful, but transnasal biopsy and histological study are required often for definitive diagnosis. The possible advantages of early diagnosis before spread of pathology for prognosis cannot be overemphasized.

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“…If the pressure was intense, use of combination materials increased. Obesity, middle age, and increased intracranial pressure can negatively affect the success (10).…”

Section: Discussionmentioning

confidence: 99%

Isolated sphenoid sinus pathologies: a series of 40 cases*

Eravcı¹,

Ceylan²,

Göcek³

et al. 2017

Turk J Med Sci

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IntroductionSphenoid sinus-derived lesions constitute 1% to 2% of paranasal pathologies having nonspecific symptoms (1). The sphenoid sinus is a sealed location at the center of the cranium and close to vital structures. In spite of this, pathologies present with vague symptoms. It is also not easily evaluated by otorhinolaryngology (ORL) examination. For these reasons, and because of the rarity of the pathologies, diagnoses are delayed (2). Generally, a diagnosis is made when there is suspicion from clinical findings and following imaging studies. However, in recent years, detection is more frequent because of the increased use of radiological imaging.The sphenoid is an area surrounded by important structures: superiorly the pituitary gland, middle cranial fossa, and optic nerve are located; the cavernous sinus is positioned laterally, which involves the carotid artery, and within it cranial nerves 3, 4, and 6 and two branches of 5. Anteriorly the pterygoid canal and nasopharynx are seen, and posteriorly the cranial fossa (3,4).With isolated sphenoid pathologies, the most common symptom is headache, followed by nasal obstruction, postnasal drip, visual problems, cranial nerve deficits, and recurrent meningitis (1-4). In contrast to other sphenoid pathologies, cerebrospinal fluid (CSF) leak patients almost always present with unilateral serous rhinorrhea and rarely with recurrent meningitis attack. The sphenoid sinus, along with the ethmoid roof, is also the most common location for spontaneous CSF leak (5).In this paper, we have analyzed patients who underwent isolated sphenoid surgery in our department with the aim of earlier diagnosis, successful treatment, and avoiding revisions and complications. Materials and methodsData on 40 patients who underwent isolated sphenoid surgery in the Gazi University ORL Department from January 2005 to August 2015 were extracted from the surgical archive charts. The medical records, including clinical and surgical data and imaging findings, were Background/aim: Isolated sphenoid sinus-derived lesions are rare and generally present with unclear symptoms. We are sharing our experience to be mindful of such lesions in differential diagnosis and to help accomplish successful treatment while avoiding revisions and complications.Materials and methods: Data from patients who underwent isolated sphenoid sinus surgeries (ISSs) were retrospectively extracted from the period of January 2005 to August 2015. Demographic data, chief complaints and presenting symptoms, imaging findings, surgical management, and results were evaluated.Results: There were 40 patients who underwent ISS. These patients had different pathologies. The chief complaint was nonspecific headache, except for cerebrospinal fluid leak patients who presented with serous rhinorrhea. Conclusion:It is critical to investigate suspicious symptoms with clinical findings and imaging techniques to avoid late diagnoses of isolated sphenoid pathologies. The transnasal approach is more minimally invasive and tissue-sparing. In our e...

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Lateral sphenoid sinus recess cerebrospinal fluid leak: a case series

Cited by 28 publications

References 14 publications

A Systematic Review of Secondary Cerebrospinal Fluid Leaks

A Systematic Review of Secondary Cerebrospinal Fluid Leaks

Isolated Sphenoid Sinus Lesions: Experience with a Few Rare Pathologies

Isolated sphenoid sinus pathologies: a series of 40 cases*

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