Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Tomazic, PV; Stammberger, H.
Spontaneous CSF-leaks and meningoencephaloceles in sphenoid sinus by persisting Sternberg's canal.
Rhinology. 2009; 47(4): 369-374.
Doi: 10.4193/Rhin08.236
Web of Science
PubMed
FullText
FullText_MUG
Google Scholar
- Führende Autor*innen der Med Uni Graz
- Tomazic Peter Valentin
- Co-Autor*innen der Med Uni Graz
- Stammberger Heinz
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Objectives: Cerebrospinal fluid (CSF) leaks and meningoencephaloceles of the lateral recess of sphenoid sinuses are rare findings. A congenital bony defect in the lateral wall of sphenoid sinus called Sternberg's canal could be the origin of these lesions. Their endoscopic transnasal management is challenging though less traumatic than transcranial approaches. The aim of this study was to define Sternberg's canal as a potential source for these rare lesions and to describe their endoscopic endonasal management. Methods: In a retrospective analysis clinical charts of 27 patients with CSF-leaks and / or meningoencephaloceles operated between March 2002 and October 2008 at the University EAT-hospital Graz have been reviewed. All patients were treated by an endoscopic endonasal approach. Results: Five patients (4 female / 1 male) were identified with spontaneous CSF-leaks from sphenoid sinus and meningoencephaloceles. In all five cases, Sternberg's canal was the site of leak-age, with the bony and dural defects always located laterally between the maxillary and Vidian nerves. Mean age was 51.2 years and mean body mass index (BMI) was 31.9 kg/m(2). All patients were operated using a multilayer closure technique. Two patients had recurrences after 12 days and 7 months, respectively, managed by endoscopic revision surgery resulting in a 100% closure rate after one revision (mean follow-up: 6.5 months). Conclusion: Persisting Sternberg's canal can be the source of spontaneous CSF-leaks and meningoencephaloceles in the lateral recess of sphenoid sinus especially when associated with extensive pneumatisation. Endoscopic management is technically challenging, nevertheless its advantages are a good view of the surgical field while being less traumatic than transcranial approaches.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Cerebrospinal Fluid Rhinorrhea - radiography
- Encephalocele - surgery
- Endoscopy - methods
- Ethmoid Sinus - surgery
- Female -
- Humans -
- Male -
- Meningocele - surgery
- Middle Aged -
- Reconstructive Surgical Procedures - methods
- Retrospective Studies -
- Sphenoid Sinus - surgery
- Tomography, X-Ray Computed -
- Find related publications in this database (Keywords)
- Sternberg's canal
- lateral recess
- sphenoid sinus
- spontaneous CSF-leaks
- endoscopic approach