Chronic Hydrocephalus and Suprasellar Arachnoid Cyst Presenting with Rhinorrhea
Abstract Spontaneous CSF leak with rhinorrhea may be secortdary to many intracranial congenital and acquired conditions. However, no cases of chronic hydrocephalus and suprasellar arachnoid cyst presenting with rhinorrhea as the unique clinical manifestation are reported in the literature. A 29-year...
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Veröffentlicht in: | Minimally invasive neurosurgery 1999-06, Vol.42 (2), p.83-85 |
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creator | Maiuri, F. Gangemi, M. Donati, P. A. Basile, D. |
description | Abstract
Spontaneous CSF leak with rhinorrhea may be secortdary to many intracranial congenital and acquired conditions. However, no cases of chronic hydrocephalus and suprasellar arachnoid cyst presenting with rhinorrhea as the unique clinical manifestation are reported in the literature. A 29-year-old-man with four-month history of episodic rhinorrhea had a large suprasellar arachnoid cyst with chronic hydrocephalus on magnetic resonance. Endoscopic ventricular fenestration of the cyst failed to obtain remission of the CSF leak, because it was not possible to fenestrate the cyst with the almost completely obliterated suprasellar cistern. Clinical remission occurred after restoration of the CSF flow from the cyst to the cisternal spaces by a direct approach. The CSF leak in this case was secondary to the chronic compression over the dural and bone structures of the sellar region by the cyst or chronic hydrocephalus. |
doi_str_mv | 10.1055/s-2008-1053376 |
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Spontaneous CSF leak with rhinorrhea may be secortdary to many intracranial congenital and acquired conditions. However, no cases of chronic hydrocephalus and suprasellar arachnoid cyst presenting with rhinorrhea as the unique clinical manifestation are reported in the literature. A 29-year-old-man with four-month history of episodic rhinorrhea had a large suprasellar arachnoid cyst with chronic hydrocephalus on magnetic resonance. Endoscopic ventricular fenestration of the cyst failed to obtain remission of the CSF leak, because it was not possible to fenestrate the cyst with the almost completely obliterated suprasellar cistern. Clinical remission occurred after restoration of the CSF flow from the cyst to the cisternal spaces by a direct approach. The CSF leak in this case was secondary to the chronic compression over the dural and bone structures of the sellar region by the cyst or chronic hydrocephalus.</description><identifier>ISSN: 0946-7211</identifier><identifier>EISSN: 1439-2291</identifier><identifier>DOI: 10.1055/s-2008-1053376</identifier><identifier>PMID: 10422703</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adult ; Arachnoid Cysts - complications ; Arachnoid Cysts - diagnosis ; Arachnoid Cysts - surgery ; Biological and medical sciences ; Cerebrospinal Fluid Rhinorrhea - complications ; Cerebrospinal Fluid Rhinorrhea - diagnosis ; Chronic Disease ; Craniopharyngioma - complications ; Craniopharyngioma - diagnosis ; Craniopharyngioma - surgery ; Craniotomy ; Endoscopy ; Fiber Optic Technology - methods ; Humans ; Hydrocephalus - complications ; Hydrocephalus - diagnosis ; Hydrocephalus - surgery ; Magnetic Resonance Imaging ; Medical sciences ; Neurologic Examination ; Neurology ; Neurosurgical Procedures - methods ; Pituitary Neoplasms - complications ; Pituitary Neoplasms - diagnosis ; Pituitary Neoplasms - surgery ; Reoperation ; Tumors of the nervous system. Phacomatoses</subject><ispartof>Minimally invasive neurosurgery, 1999-06, Vol.42 (2), p.83-85</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-47847d09ab46d3322b48b0bdb0d2ffd43aeaed83bc70855e1e1119274b064e583</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1053376.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>309,310,314,776,780,785,786,3004,3005,23909,23910,25118,27901,27902,54534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1842087$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10422703$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maiuri, F.</creatorcontrib><creatorcontrib>Gangemi, M.</creatorcontrib><creatorcontrib>Donati, P. A.</creatorcontrib><creatorcontrib>Basile, D.</creatorcontrib><title>Chronic Hydrocephalus and Suprasellar Arachnoid Cyst Presenting with Rhinorrhea</title><title>Minimally invasive neurosurgery</title><addtitle>Minim Invasive Neurosurg</addtitle><description>Abstract
Spontaneous CSF leak with rhinorrhea may be secortdary to many intracranial congenital and acquired conditions. However, no cases of chronic hydrocephalus and suprasellar arachnoid cyst presenting with rhinorrhea as the unique clinical manifestation are reported in the literature. A 29-year-old-man with four-month history of episodic rhinorrhea had a large suprasellar arachnoid cyst with chronic hydrocephalus on magnetic resonance. Endoscopic ventricular fenestration of the cyst failed to obtain remission of the CSF leak, because it was not possible to fenestrate the cyst with the almost completely obliterated suprasellar cistern. Clinical remission occurred after restoration of the CSF flow from the cyst to the cisternal spaces by a direct approach. The CSF leak in this case was secondary to the chronic compression over the dural and bone structures of the sellar region by the cyst or chronic hydrocephalus.</description><subject>Adult</subject><subject>Arachnoid Cysts - complications</subject><subject>Arachnoid Cysts - diagnosis</subject><subject>Arachnoid Cysts - surgery</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal Fluid Rhinorrhea - complications</subject><subject>Cerebrospinal Fluid Rhinorrhea - diagnosis</subject><subject>Chronic Disease</subject><subject>Craniopharyngioma - complications</subject><subject>Craniopharyngioma - diagnosis</subject><subject>Craniopharyngioma - surgery</subject><subject>Craniotomy</subject><subject>Endoscopy</subject><subject>Fiber Optic Technology - methods</subject><subject>Humans</subject><subject>Hydrocephalus - complications</subject><subject>Hydrocephalus - diagnosis</subject><subject>Hydrocephalus - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Neurologic Examination</subject><subject>Neurology</subject><subject>Neurosurgical Procedures - methods</subject><subject>Pituitary Neoplasms - complications</subject><subject>Pituitary Neoplasms - diagnosis</subject><subject>Pituitary Neoplasms - surgery</subject><subject>Reoperation</subject><subject>Tumors of the nervous system. Phacomatoses</subject><issn>0946-7211</issn><issn>1439-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1v2zAQhomiQe04WTsGGopuco4fEqnRMNomgAEHaTsTFHmqaMiUQ0oI_O8rwwaSJdPd8Nx7dw8hXyksKRTFfcoZgMqnnnNZfiJzKniVM1bRz2QOlShzySidkeuUdgBUVCC_kBkFwZgEPifbdRv74G32cHSxt3hoTTemzASX_R4P0STsOhOzVTS2Db132fqYhuwpYsIw-PAve_VDmz23PvQxtmhuyFVjuoS3l7ogf3_--LN-yDfbX4_r1Sa3vFBDLqQS0kFlalE6zhmrhaqhdjU41jROcIMGneK1laCKAilSSismRQ2lwELxBfl-zj3E_mXENOi9T_Z0bMB-TLqsKsrl9OKCLM-gjX1KERt9iH5v4lFT0CeFOumTQn1ROA3cXZLHeo_uHX52NgHfLoBJ1nRNNMH69MYpwUDJCcvP2NB63KPe9WMMk5KP9v4HkF6GxA</recordid><startdate>19990601</startdate><enddate>19990601</enddate><creator>Maiuri, F.</creator><creator>Gangemi, M.</creator><creator>Donati, P. A.</creator><creator>Basile, D.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990601</creationdate><title>Chronic Hydrocephalus and Suprasellar Arachnoid Cyst Presenting with Rhinorrhea</title><author>Maiuri, F. ; Gangemi, M. ; Donati, P. A. ; Basile, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-47847d09ab46d3322b48b0bdb0d2ffd43aeaed83bc70855e1e1119274b064e583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Arachnoid Cysts - complications</topic><topic>Arachnoid Cysts - diagnosis</topic><topic>Arachnoid Cysts - surgery</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal Fluid Rhinorrhea - complications</topic><topic>Cerebrospinal Fluid Rhinorrhea - diagnosis</topic><topic>Chronic Disease</topic><topic>Craniopharyngioma - complications</topic><topic>Craniopharyngioma - diagnosis</topic><topic>Craniopharyngioma - surgery</topic><topic>Craniotomy</topic><topic>Endoscopy</topic><topic>Fiber Optic Technology - methods</topic><topic>Humans</topic><topic>Hydrocephalus - complications</topic><topic>Hydrocephalus - diagnosis</topic><topic>Hydrocephalus - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Neurologic Examination</topic><topic>Neurology</topic><topic>Neurosurgical Procedures - methods</topic><topic>Pituitary Neoplasms - complications</topic><topic>Pituitary Neoplasms - diagnosis</topic><topic>Pituitary Neoplasms - surgery</topic><topic>Reoperation</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maiuri, F.</creatorcontrib><creatorcontrib>Gangemi, M.</creatorcontrib><creatorcontrib>Donati, P. A.</creatorcontrib><creatorcontrib>Basile, D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Minimally invasive neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maiuri, F.</au><au>Gangemi, M.</au><au>Donati, P. A.</au><au>Basile, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Hydrocephalus and Suprasellar Arachnoid Cyst Presenting with Rhinorrhea</atitle><jtitle>Minimally invasive neurosurgery</jtitle><addtitle>Minim Invasive Neurosurg</addtitle><date>1999-06-01</date><risdate>1999</risdate><volume>42</volume><issue>2</issue><spage>83</spage><epage>85</epage><pages>83-85</pages><issn>0946-7211</issn><eissn>1439-2291</eissn><abstract>Abstract
Spontaneous CSF leak with rhinorrhea may be secortdary to many intracranial congenital and acquired conditions. However, no cases of chronic hydrocephalus and suprasellar arachnoid cyst presenting with rhinorrhea as the unique clinical manifestation are reported in the literature. A 29-year-old-man with four-month history of episodic rhinorrhea had a large suprasellar arachnoid cyst with chronic hydrocephalus on magnetic resonance. Endoscopic ventricular fenestration of the cyst failed to obtain remission of the CSF leak, because it was not possible to fenestrate the cyst with the almost completely obliterated suprasellar cistern. Clinical remission occurred after restoration of the CSF flow from the cyst to the cisternal spaces by a direct approach. The CSF leak in this case was secondary to the chronic compression over the dural and bone structures of the sellar region by the cyst or chronic hydrocephalus.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>10422703</pmid><doi>10.1055/s-2008-1053376</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Arachnoid Cysts - complications Arachnoid Cysts - diagnosis Arachnoid Cysts - surgery Biological and medical sciences Cerebrospinal Fluid Rhinorrhea - complications Cerebrospinal Fluid Rhinorrhea - diagnosis Chronic Disease Craniopharyngioma - complications Craniopharyngioma - diagnosis Craniopharyngioma - surgery Craniotomy Endoscopy Fiber Optic Technology - methods Humans Hydrocephalus - complications Hydrocephalus - diagnosis Hydrocephalus - surgery Magnetic Resonance Imaging Medical sciences Neurologic Examination Neurology Neurosurgical Procedures - methods Pituitary Neoplasms - complications Pituitary Neoplasms - diagnosis Pituitary Neoplasms - surgery Reoperation Tumors of the nervous system. Phacomatoses |
title | Chronic Hydrocephalus and Suprasellar Arachnoid Cyst Presenting with Rhinorrhea |
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