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Case No. 487
2018-07-01~2018-07-31
출제자 : 최윤성
Hit : 280
| Period | 2018-07-01~2018-07-31 |
|---|---|
| Diagnosis | Encephalocele through right Sternberg's canal |
| Clinical information | F/56 Chief complaint> Rhinorrhea, 냄새 못 맡는다 진단은? |
| Discussion | • Diagnosis: Encephalocele through right Sternberg's canal. • Reported in up to 4% of adults • Incomplete closure of sphenoidal sinus • abnormal lateral craniopharyngeal canal connecting the middle cranial fossa and sphenoidal sinus • may cause CSF rhinorrhea, meningocele, or encephalocele with temporal lobe herniation • Especially, in the presence of lateral recess of sphenoid sinus (SS), • Sternberg’s canal can communicate with SS after its pneumatization • Possible origin of encephalocele • Most common manifestations • Asymptomatic • CSF rhinorrhea • Chronic headache, seizure, vertigo • Recurrent meningitis • Persistent CSF leak is potentially lethal • Open intracranial or endoscopic trans-sphenoidal approaches may be considered for repair |
| Correct answer |
Correct Answer
Semi-Correct Answer |