Journal article
Sphenoid Mucocele with Intracranial Extension: An Anatomic Perspective.
- Cossu G Department of Neurosurgery, University Hospital of Lausanne, Lausanne, Switzerland; Department of Neurosurgery, CHRU de Tours, Tours, France. Electronic address: giulia.cossu@chuv.ch.
- Daniel RT Department of Neurosurgery, University Hospital of Lausanne, Lausanne, Switzerland.
- Francois P Department of Neurosurgery, CHRU de Tours, Tours, France.
- Destrieux C Department of Neurosurgery, CHRU de Tours, Tours, France; UMR 1253, iBrain, Université de Tours, Inserm, Tours, France.
- Messerer M Department of Neurosurgery, University Hospital of Lausanne, Lausanne, Switzerland.
- 2018-02-14
Published in:
- World neurosurgery. - 2018
Anatomy
Endoscopic endonasal surgery
Mucocele
Sellar region
Sphenoid sinus
Female
Follow-Up Studies
Humans
Middle Aged
Mucocele
Neuroendoscopy
Paranasal Sinus Diseases
Sphenoid Sinus
English
BACKGROUND
Isolated sphenoid mucoceles are rare, but because of their close proximity to important vasculonervous structures, local extension may result in serious consequences.
CASE DESCRIPTION
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.
CONCLUSIONS
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.
Isolated sphenoid mucoceles are rare, but because of their close proximity to important vasculonervous structures, local extension may result in serious consequences.
CASE DESCRIPTION
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.
CONCLUSIONS
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.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.wneu.2018.02.006
- PMID 29438786
- Persistent URL
- https://sonar.ch/global/documents/182122
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