Öz
We present a 35-year-old male patient with an eight- year history of endoscopic nasal polypectomy followed by five episodes of meningitis 4 episodes in the past 3 years . His majör complaints were right- sided nasal obstruction, frequent watery nasal discharge, headache, and fever. Physical examination revealed a mass in the right nasal cavity. Computed tomography and magnetic resonance imaging demonstrated a defect in the cribriform plate and an ethmoidal meningocele. The patient was referred to the neurosurgery department for surgical reparation.
Anahtar Kelimeler
Kaynakça
- Emery JL, Kalhan SC. The pathology of exencephalus. Dev Med Child Neurol Suppl 1970;22:Suppl 22:51+
- Naidich TP, Altman NR, Braffman BH, McLone DG, Zimmerman RA. Cephaloceles and related malforma- tions. AJNR Am J Neuroradiol 1992;13:655-90.
- Schlosser RJ, Bolger WE. Management of multiple spon- taneous nasal meningoencephaloceles. Laryngoscope 2002;112:980-5.
- Schlosser RJ, Bolger WE. Nasal cerebrospinal fluid leaks: critical review and surgical considerations. Laryngoscope 2004;114:255-65.
- Calcaterra TC. Diagnosis and management of ethmoid cerebrospinal rhinorrhea. Otolaryngol Clin North Am 1985;18:99-105.
- Osborn AG. Diagnostic neuroradiology. St. Louis: Mosby Year Book; 1994.
- Marentette LJ, Valentino J. Traumatic anterior fossa cerebrospinal fluid fistulae and craniofacial considera- tions. Otolaryngol Clin North Am 1991;24:151-63.
- Applebaum EL, Chow JM. Cerebrospinal fluid leaks. In: Cummings CW, Fredrickson JM, Krause CJ, Harker LA, Schuller DE, Richardson MA, editors. Otolaryngology head and neck surgery. 3rd ed. St Louis: Mosby Company; 1998. p. 1189-98.
- Jefferson A, Reilly G. Fractures of the floor of the ante- rior cranial fossa. The selection of patients for dural repair. Br J Surg 1972;59:585-92.
- Loew F, Pertuiset B, Chaumier EE, Jaksche H. Traumatic, spontaneous and postoperative CSF rhi- norrhea. Adv Tech Stand Neurosurg 1984;11:169- 207.
- Myers DL, Sataloff RT. Spinal fluid leakage after skull base surgical procedures. Otolaryngol Clin North Am 1984;17:601-12.
- Park JI, Strelzow VV, Friedman WH. Current manage- ment of cerebrospinal fluid rhinorrhea. Laryngoscope 1983;93:1294-300.
- Gagnon NB, Mohr G, Martinez SN. Unusual dural fis- tulae. J Otolaryngol 1984;13:395-402.
Öz
Bu yazıda sekiz yıl önce endoskopik nazal polipek- tomi yapılan ve sonrasında beş menenjit atağı ge- çiren son üç yılda dört atak 35 yaşındaki erkek hasta sunuldu. Hastada sık sulu burun akıntısı, baş ağrısı, ateş ve sağ tarafta burun tıkanıklığı yakın- maları vardı. Fizik muayenede sağ nazal kavitede kitle saptandı. Bilgisayarlı tomografi ve manyetik rezonans görüntüleme incelemelerinde kribriform plate’te bir defekt ve etmoidal meningosel görüldü. Hasta cerrahi onarım için beyin cerrahisi bölümüne gönderildi
Anahtar Kelimeler
Kaynakça
- Emery JL, Kalhan SC. The pathology of exencephalus. Dev Med Child Neurol Suppl 1970;22:Suppl 22:51+
- Naidich TP, Altman NR, Braffman BH, McLone DG, Zimmerman RA. Cephaloceles and related malforma- tions. AJNR Am J Neuroradiol 1992;13:655-90.
- Schlosser RJ, Bolger WE. Management of multiple spon- taneous nasal meningoencephaloceles. Laryngoscope 2002;112:980-5.
- Schlosser RJ, Bolger WE. Nasal cerebrospinal fluid leaks: critical review and surgical considerations. Laryngoscope 2004;114:255-65.
- Calcaterra TC. Diagnosis and management of ethmoid cerebrospinal rhinorrhea. Otolaryngol Clin North Am 1985;18:99-105.
- Osborn AG. Diagnostic neuroradiology. St. Louis: Mosby Year Book; 1994.
- Marentette LJ, Valentino J. Traumatic anterior fossa cerebrospinal fluid fistulae and craniofacial considera- tions. Otolaryngol Clin North Am 1991;24:151-63.
- Applebaum EL, Chow JM. Cerebrospinal fluid leaks. In: Cummings CW, Fredrickson JM, Krause CJ, Harker LA, Schuller DE, Richardson MA, editors. Otolaryngology head and neck surgery. 3rd ed. St Louis: Mosby Company; 1998. p. 1189-98.
- Jefferson A, Reilly G. Fractures of the floor of the ante- rior cranial fossa. The selection of patients for dural repair. Br J Surg 1972;59:585-92.
- Loew F, Pertuiset B, Chaumier EE, Jaksche H. Traumatic, spontaneous and postoperative CSF rhi- norrhea. Adv Tech Stand Neurosurg 1984;11:169- 207.
- Myers DL, Sataloff RT. Spinal fluid leakage after skull base surgical procedures. Otolaryngol Clin North Am 1984;17:601-12.
- Park JI, Strelzow VV, Friedman WH. Current manage- ment of cerebrospinal fluid rhinorrhea. Laryngoscope 1983;93:1294-300.
- Gagnon NB, Mohr G, Martinez SN. Unusual dural fis- tulae. J Otolaryngol 1984;13:395-402.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 2 Aralık 2006 |
| Yayımlandığı Sayı | Yıl 2006 Cilt: 16 Sayı: 6 |