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
Hauptverfasser: Maiuri, F., Gangemi, M., Donati, P. A., Basile, D.
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container_title Minimally invasive neurosurgery
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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.
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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. 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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. 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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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