| CASE REPORT
|Year : 2020 | Volume
| Issue : 1 | Page : 25-28
A rare case of sphenoid encephalocoele presenting with fifth cranial nerve involvement
Rohit Wadikhaye, Vamsi Krishna Yerramneni, Thirumal Yerragunta, Neeraj Sharma
Department of Neurosurgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
A 14-year-old girl presented with chronic headache, recurrent episodes of vomiting, fever, and two episodes of generalized tonic clonic seizure in the past 2 months. Neuroimaging revealed herniation of the brain along with the dura through a defect in the left greater wing of the sphenoid. Left pterional craniotomy was carried out. Herniation of the dural sac along with its contents through the bony defect in the greater sphenoid wing was identified lateral to the V2 nerve passing through the foramen rotundum. The dural defect was repaired. Bony defect was covered with a circular titanium plate. The patient did not have cerebrospinal fluid rhinorrhea postoperatively. At 6-month follow-up, she was asymptomatic.
Dr. Vamsi Krishna Yerramneni
Department of Neurosurgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana.
Source of Support: None, Conflict of Interest: None
[FULL TEXT] [PDF]*