Sphenoid Mucocele with Intracranial Extension: An Anatomic Perspective.

Details

Serval ID
serval:BIB_CFA9D612643C
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Sphenoid Mucocele with Intracranial Extension: An Anatomic Perspective.
Journal
World neurosurgery
Author(s)
Cossu G., Daniel R.T., Francois P., Destrieux C., Messerer M.
ISSN
1878-8769 (Electronic)
ISSN-L
1878-8750
Publication state
Published
Issued date
05/2018
Peer-reviewed
Oui
Volume
113
Pages
40-46
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Isolated sphenoid mucoceles are rare, but because of their close proximity to important vasculonervous structures, local extension may result in serious consequences.
A 47-year-old patient presented with headaches, meningismus, and a left homonymous lateral hemianopia. We report the atypical evolution of a posttraumatic sphenoid mucocele invading the sellar region and extending into the subarachnoid space with compression of the right optic tract, and we describe its surgical management. Further, with the aid of cadaveric specimens, we aim to analyze the precise pathway followed by the expanding collection from an anatomic perspective.
Anatomic knowledge of the sellar and parasellar regions is the key to understand the process of how sphenoid mucoceles may extend intracranially. Early endoscopic drainage with a large sphenoidotomy allows favorable outcomes and prevents serious consequences.
Keywords
Female, Follow-Up Studies, Humans, Middle Aged, Mucocele/diagnostic imaging, Mucocele/surgery, Neuroendoscopy/methods, Paranasal Sinus Diseases/diagnostic imaging, Paranasal Sinus Diseases/surgery, Sphenoid Sinus/anatomy & histology, Sphenoid Sinus/diagnostic imaging, Sphenoid Sinus/surgery, Anatomy, Endoscopic endonasal surgery, Mucocele, Sellar region, Sphenoid sinus
Pubmed
Web of science
Create date
15/02/2018 19:45
Last modification date
26/03/2020 19:56
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