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Title: | MRI and CT imaging of an intrasphenoidal encephalocele: A case report | Authors: | Ağladıoğlu, Kadir Ardıç, Fazıl Necdet Tümkaya, Funda Bir, Ferda |
Keywords: | Encephalocele Magnetic Resonance Imaging Multidetector Computed Tomography adult Article biopsy case report cerebrospinal fluid rhinorrhea computer assisted tomography differential diagnosis encephalocele endoscopic sinus surgery ENT examination headache histopathology human human tissue intrasphenoidal encephalocele male nuclear magnetic resonance imaging sphenoid sinus |
Publisher: | Medical Science International | Abstract: | Background: Intrasphenoidal encephalocele (ISE) is a rare clinical entity. The incidence of congenital encephalocele is very low. Accurate diagnosis and surgical approach is of critical value. Case Reports: We present a case of intrasphenoidal encephalocele in a 40-year-old man. He complained of cerebrospinal fluid (CSF) rhinorrhea and recurrent meningitis. In images of computed tomography (CT) and magnetic resonance imaging (MRI), intrasphenoidal encephalocele herniating through a defect of the left lateral sphenoid sinus wall was determined. Incisional biopsies were taken by endoscopic transnasal approach and histopathological examination revealed an encephalocele. In the differential diagnosis, ISE can be taken for inflammatory or malignant sinusoidal soft tissue masses. ISE is differentiated from other entities by demonstrating continuity with normal brain tissue. Conclusions: MRI clearly demonstrates that the herniating soft tissue is isointense with brain and continuous with brain tissue via the sphenoid sinus, thereby the treatment decision-making process is very important. © Pol J Radiol. |
URI: | https://hdl.handle.net/11499/7355 https://doi.org/10.12659/PJR.890795 |
ISSN: | 1733-134X |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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poljradiol-79-360.pdf | 1.14 MB | Adobe PDF | View/Open |
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