RT Journal Article
SR Electronic
A1 Novak, Vlastimil
A1 Hrabalek, Lumir
A1 Hoza, Jiri
A1 Tuckova, Lucie
A1 Pohlodek, Daniel
T1 Transnasal endoscopic surgery of sphenoid meningocele associated with pituitary adenoma. A case report
JF Biomedical papers
YR 2022
VO 166
IS 3
SP 343
OP 346
DO 10.5507/bp.2021.052
UL https://biomed.papers.upol.cz/artkey/bio-202203-0014.php
AB Background. Transsphenoid meningoencephalocele is a congenital anomaly formed by herniation of an ependyma delimited sac through a bony defect into the sphenoid sinus. The sac contains cerebrospinal fluid and neurovascular structures. The prevalence of transsphenoid meningoencephalocele in the adult population is rare. It usually manifests as nasal liquorrhoea.
Methods and Results. This case report presents an adult male who underwent surgery due to suspected pituitary macroadenoma. The surgery was performed endoscopically via the transnasal approach with a surprising finding of true transsphenoid meningoencephalocele. Ectopic solid tissue was found in the sphenoid sinus in which pituitary adenoma was histologically confirmed.
Conclusion. This paper presents a previously unpublished combination of true transsphenoid meningoencephalocele and pituitary adenoma in an adult individual.