Successful endoscopic endonasal management of a transclival cerebrospinal fluid fistula secondary to ecchordosis physaliphora – An ectopic remnant of primitive notochord tissue in the clivus
MR scans often evidence homogeneous masses that present hypointense and hyperintense signals on T1 and T2-weighted images, respectively [1]. Because EP is a scarcely vascularized lesion, enhancement after contrast administration is usually absent [1,4]. [...]it was opted to perform an endoscopic end...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2014-02, Vol.117 (C), p.116-119 |
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| creator | Dias, Luis Augusto Nakanishi, Márcio Mangussi-Gomes, João Canuto, Marcelo Takano, Gustavo Oliveira, Carlos Augusto |
| description | MR scans often evidence homogeneous masses that present hypointense and hyperintense signals on T1 and T2-weighted images, respectively [1]. Because EP is a scarcely vascularized lesion, enhancement after contrast administration is usually absent [1,4]. [...]it was opted to perform an endoscopic endonasal approach to treat the patient in the case reported. 2 transferrin levels Clinically suspected Infectious complication (bacterial meningitis) NO YES (after radiological confirmation of CSF fistula) YES (at presentation) CT findings Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus MRI characteristics T1 ? ? ? T2 ? ? ? Contrast enhancement -a No No Histopathology Confirmed -a Confirmed Immunohistochemistry -a -a Confirmed Surgical approach Sublabial midline rhinoseptal transsphenoidal Endoscopic endonasal (unsuccessful) -Microscopic transsphenoidal Endoscopic endonasal Table 1 Comparison between the case reports of CSF fistula secondary to EP registered in the literature and the case presented. |
| doi_str_mv | 10.1016/j.clineuro.2013.11.026 |
| format | Article |
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Because EP is a scarcely vascularized lesion, enhancement after contrast administration is usually absent [1,4]. [...]it was opted to perform an endoscopic endonasal approach to treat the patient in the case reported. 2 transferrin levels Clinically suspected Infectious complication (bacterial meningitis) NO YES (after radiological confirmation of CSF fistula) YES (at presentation) CT findings Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus MRI characteristics T1 ? ? ? T2 ? ? ? Contrast enhancement -a No No Histopathology Confirmed -a Confirmed Immunohistochemistry -a -a Confirmed Surgical approach Sublabial midline rhinoseptal transsphenoidal Endoscopic endonasal (unsuccessful) -Microscopic transsphenoidal Endoscopic endonasal Table 1 Comparison between the case reports of CSF fistula secondary to EP registered in the literature and the case presented.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2013.11.026</identifier><identifier>PMID: 24438817</identifier><identifier>CODEN: CNNSBV</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Antigens ; Cerebrospinal fluid ; Cerebrospinal Fluid - physiology ; Cerebrospinal fluid fistula ; Chordoma ; Choristoma - pathology ; Choristoma - surgery ; Cranial Fossa, Posterior - pathology ; Cranial Fossa, Posterior - surgery ; Defects ; Diagnosis, Differential ; Ecchordosis physaliphora ; Endoscopic endonasal surgery ; Endoscopy ; Endoscopy - methods ; Female ; Fistula ; Fistula - etiology ; Fistula - surgery ; Fistulae ; Humans ; Hypotheses ; Immunohistochemistry ; Lesions ; Low molecular weights ; Magnetic Resonance Imaging ; Meningitis ; Middle Aged ; Molecular weight ; Nasal Cavity - surgery ; Neurology ; Neurosurgery ; Neurosurgical Procedures - methods ; Notochord ; Notochord - pathology ; S100 protein ; Sinuses ; Skull ; Surgery ; Tissues ; Tomography ; Tomography, X-Ray Computed ; Tumors ; Vimentin</subject><ispartof>Clinical neurology and neurosurgery, 2014-02, Vol.117 (C), p.116-119</ispartof><rights>Elsevier B.V.</rights><rights>2013 Elsevier B.V.</rights><rights>Copyright Elsevier Limited 2014</rights><rights>2013. Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c545t-eeb1288dd9355ffd8048652d38c7fa7e5e189a41098cac586ad7f812ee59d0a63</citedby><cites>FETCH-LOGICAL-c545t-eeb1288dd9355ffd8048652d38c7fa7e5e189a41098cac586ad7f812ee59d0a63</cites><orcidid>0000-0002-9441-1489</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1477828807?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994,64384,64386,64388,72340</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24438817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dias, Luis Augusto</creatorcontrib><creatorcontrib>Nakanishi, Márcio</creatorcontrib><creatorcontrib>Mangussi-Gomes, João</creatorcontrib><creatorcontrib>Canuto, Marcelo</creatorcontrib><creatorcontrib>Takano, Gustavo</creatorcontrib><creatorcontrib>Oliveira, Carlos Augusto</creatorcontrib><title>Successful endoscopic endonasal management of a transclival cerebrospinal fluid fistula secondary to ecchordosis physaliphora – An ectopic remnant of primitive notochord tissue in the clivus</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>MR scans often evidence homogeneous masses that present hypointense and hyperintense signals on T1 and T2-weighted images, respectively [1]. Because EP is a scarcely vascularized lesion, enhancement after contrast administration is usually absent [1,4]. [...]it was opted to perform an endoscopic endonasal approach to treat the patient in the case reported. 2 transferrin levels Clinically suspected Infectious complication (bacterial meningitis) NO YES (after radiological confirmation of CSF fistula) YES (at presentation) CT findings Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus MRI characteristics T1 ? ? ? T2 ? ? ? Contrast enhancement -a No No Histopathology Confirmed -a Confirmed Immunohistochemistry -a -a Confirmed Surgical approach Sublabial midline rhinoseptal transsphenoidal Endoscopic endonasal (unsuccessful) -Microscopic transsphenoidal Endoscopic endonasal Table 1 Comparison between the case reports of CSF fistula secondary to EP registered in the literature and the case presented.</description><subject>Antigens</subject><subject>Cerebrospinal fluid</subject><subject>Cerebrospinal Fluid - physiology</subject><subject>Cerebrospinal fluid fistula</subject><subject>Chordoma</subject><subject>Choristoma - pathology</subject><subject>Choristoma - surgery</subject><subject>Cranial Fossa, Posterior - pathology</subject><subject>Cranial Fossa, Posterior - surgery</subject><subject>Defects</subject><subject>Diagnosis, Differential</subject><subject>Ecchordosis physaliphora</subject><subject>Endoscopic endonasal surgery</subject><subject>Endoscopy</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Fistula</subject><subject>Fistula - 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physiology</topic><topic>Cerebrospinal fluid fistula</topic><topic>Chordoma</topic><topic>Choristoma - pathology</topic><topic>Choristoma - surgery</topic><topic>Cranial Fossa, Posterior - pathology</topic><topic>Cranial Fossa, Posterior - surgery</topic><topic>Defects</topic><topic>Diagnosis, Differential</topic><topic>Ecchordosis physaliphora</topic><topic>Endoscopic endonasal surgery</topic><topic>Endoscopy</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Fistula</topic><topic>Fistula - etiology</topic><topic>Fistula - surgery</topic><topic>Fistulae</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Immunohistochemistry</topic><topic>Lesions</topic><topic>Low molecular weights</topic><topic>Magnetic Resonance Imaging</topic><topic>Meningitis</topic><topic>Middle Aged</topic><topic>Molecular weight</topic><topic>Nasal Cavity - surgery</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures - methods</topic><topic>Notochord</topic><topic>Notochord - 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Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dias, Luis Augusto</au><au>Nakanishi, Márcio</au><au>Mangussi-Gomes, João</au><au>Canuto, Marcelo</au><au>Takano, Gustavo</au><au>Oliveira, Carlos Augusto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful endoscopic endonasal management of a transclival cerebrospinal fluid fistula secondary to ecchordosis physaliphora – An ectopic remnant of primitive notochord tissue in the clivus</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>117</volume><issue>C</issue><spage>116</spage><epage>119</epage><pages>116-119</pages><issn>0303-8467</issn><eissn>1872-6968</eissn><coden>CNNSBV</coden><abstract>MR scans often evidence homogeneous masses that present hypointense and hyperintense signals on T1 and T2-weighted images, respectively [1]. Because EP is a scarcely vascularized lesion, enhancement after contrast administration is usually absent [1,4]. [...]it was opted to perform an endoscopic endonasal approach to treat the patient in the case reported. 2 transferrin levels Clinically suspected Infectious complication (bacterial meningitis) NO YES (after radiological confirmation of CSF fistula) YES (at presentation) CT findings Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus Mass spanning a clival defect, air-fluid level within the sphenoid sinus MRI characteristics T1 ? ? ? T2 ? ? ? Contrast enhancement -a No No Histopathology Confirmed -a Confirmed Immunohistochemistry -a -a Confirmed Surgical approach Sublabial midline rhinoseptal transsphenoidal Endoscopic endonasal (unsuccessful) -Microscopic transsphenoidal Endoscopic endonasal Table 1 Comparison between the case reports of CSF fistula secondary to EP registered in the literature and the case presented.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>24438817</pmid><doi>10.1016/j.clineuro.2013.11.026</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-9441-1489</orcidid></addata></record> |
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| ispartof | Clinical neurology and neurosurgery, 2014-02, Vol.117 (C), p.116-119 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE; ProQuest Central UK/Ireland |
| subjects | Antigens Cerebrospinal fluid Cerebrospinal Fluid - physiology Cerebrospinal fluid fistula Chordoma Choristoma - pathology Choristoma - surgery Cranial Fossa, Posterior - pathology Cranial Fossa, Posterior - surgery Defects Diagnosis, Differential Ecchordosis physaliphora Endoscopic endonasal surgery Endoscopy Endoscopy - methods Female Fistula Fistula - etiology Fistula - surgery Fistulae Humans Hypotheses Immunohistochemistry Lesions Low molecular weights Magnetic Resonance Imaging Meningitis Middle Aged Molecular weight Nasal Cavity - surgery Neurology Neurosurgery Neurosurgical Procedures - methods Notochord Notochord - pathology S100 protein Sinuses Skull Surgery Tissues Tomography Tomography, X-Ray Computed Tumors Vimentin |
| title | Successful endoscopic endonasal management of a transclival cerebrospinal fluid fistula secondary to ecchordosis physaliphora – An ectopic remnant of primitive notochord tissue in the clivus |
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