TY - JOUR T1 - Spontaneous Intranasal Meningocele: A Case Report TT - Spontan İntranazal Meningosel: Bir Olgu Sunumu AU - Çıldır, İdris PY - 2020 DA - March Y2 - 2019 DO - 10.26453/otjhs.522896 JF - Online Turkish Journal of Health Sciences JO - OTSBD PB - Oğuz KARABAY WT - DergiPark SN - 2459-1467 SP - 193 EP - 198 VL - 5 IS - 1 LA - en AB - Intranasal meningocele is apathology that occurs as a result of herniation of the meninges in the nasalcavity usually due to defects of the cribriform plate. They are frequentlyfound in the pediatric population as a result of congenital defects at the baseof the skull. Intranasal meningoceles are very rare in adults and usually occuras a consequence of trauma. The most obvious symptoms are nasal discharge andobstruction, making diagnosis difficult as they resemble polyps. Intranasalmeningoceles may cause serious complications unless promptly diagnosed andtreated via surgery. The most commonly used surgical procedure today is theclosure of the skull base defect through intranasal route. In our case, thedural defect of our 59-year-old female patient with intranasal meningocele wasrepaired with this technique. Postoperative 10 months follow-up showed neithercerebrospinal fluid leakage nor other complications. We present this case witha summary of relevant literature. KW - Ethmoid bone KW - meningocele KW - nasal polyp N2 - Buruniçi meningosel, kribriform plakadaki defekte bağlı olarak meninkslerin burunboşluğuna fıtıklaşması sonucunda ortaya çıkan patolojidir. Bunlar, sıklıklapediatrik popülasyonda kafatası tabanındaki doğuştan bir defekt nedeniylebulunur. Burun içi meningosel, erişkinlerde çok nadirdir ve genellikle travmasonucu ortaya çıkar. En belirgin semptom burun akıntısı ve tıkanıklığıdır.Poliplere benzediğinden teşhis edilmeleri zordur. Teşhis edilmediği takdirdeciddi komplikasyonlara yol açarlar. Tedavisi cerrahi olup günümüzde kullanılancerrahi yöntem intranazal yolla kafa tabanı defektinin kapatılmasıdır. Ellidokuz yaşındaki bir kadın hasta da, meningosele bağlı dural defekt,intranazalyolla kapatıldı. Postoperatif 10 aylık takiplerinde herhangi bir beyin omuriliksıvısı sızıntısı ya da başka bir komplikasyon bildirilmedi. Bu vaka literatüreşliğinde sunuldu. CR - 1-David DJ. Cephaloceles classification, pathology, and management—a review. J Craniofac Surg. 1993;4(4):192-202. CR - 2-Castaño-Duque CH, Monfort L, Muntané A, de Miquel MA, Pons-Irazaz. Trans-ethmoid meningocele diagnosed in adults abal LC, López-Moreno JL. Rev Neurol. 1997;25(138):230-233. CR - 3-Nager GT. Cephaloceles. Laryngoscope. 1987;7(1):77-84. CR - 4-Kollias SS, Ball WS, Congenital Malformation of Brain Chapter 5. In Pediatric Neuroradiology Ed. Ball WS. Lippincott; 1997:2327-2346. CR - 5-Malik R, Pandya VK, Parteki S. Fronto ethmoidal meningocele. Neuroradiology. 2004;14(4):379-381. CR - 6-Shetty P, Shroff MM, Sahani DV. Evaluation of high-resolution CT and MR cisternography in the diagnosis of cerebrospinal fluid fistula. Am J Neuroradiol. 1998;19633-639 CR - 7-İsmi O, Özcan C, Vayısoğlu Y, Koray K, Kuyucu N. Endoscopik Nazal meningocele and CSF Leak Repair using inferior Turbinate Greft. Turkish J Rhinology. 2015;4(1):34-8. CR - 8-Martín C. Martínez CG, Serramito GR, Espinosa RF. Surgical challenge: endoscopic repair of cerebrospinal fluid leak. BMC Res Notes. 2012;5:459. CR - 9-RandolphG. Comprehensive Techniques in CSF Leak Repair and Skull Base Reconstruction.Adv Otorhinolaryngol. 2013;(74):33-41. CR - 10-Nyquist GG, Anand VK, Mehra S, Kacker A, Schwartz TH. Endoscopic endonasal repair of anterior skull base non-traumatic cerebrospinal fluid leaks, meningoceles, and encephaloceles. J Neurosurg. 2010;113(5):961-6 UR - https://doi.org/10.26453/otjhs.522896 L1 - https://dergipark.org.tr/en/download/article-file/1020568 ER -