TY - JOUR
T1 - Sublabial transsphenoidal microsurgical technique to treat congenital transsphenoidal encephalocele
T2 - a technical note
AU - Albano, Luigi
AU - Parisi, Veronica
AU - Acerno, Stefania
AU - Barzaghi, Lina Raffaella
AU - Losa, Marco
AU - Mortini, Pietro
PY - 2019/6/1
Y1 - 2019/6/1
N2 - Encephalocele is a rare malformation consisting in herniation of cranial contents through a cranial defect. A transsphenoidal location is uncommon, representing 5% of all basal encephaloceles. The surgical treatment of transsphenoidal encephaloceles is challenging. An optimal approach has not yet been determined, and it varies according to the surgical experience. We report the surgical management of a transsphenoidal encephalocele. The encephalocele and the sellar defect were repaired through a sublabial transsphenoidal microsurgical approach (TSM). Preoperative magnetic resonance imaging (MRI) and computed tomography (CT) scans were crucial for surgical planning. The sublabial transsphenoidal microsurgical approach offered a good and complete exposure of both the sac and the bone defect. Therefore, the congenital defect was successfully repaired with complete resolution of the encephalocele without any surgical or medical complications. Postoperative CT scan and MRI showed the restoration of the bone defect and the recovery of a normal anatomy with herniated structures pushed back into the sella. The described sublabial transsphenoidal microsurgical approach represents a minimally invasive, safe, and effective treatment strategy for transsphenoidal encephalocele.
AB - Encephalocele is a rare malformation consisting in herniation of cranial contents through a cranial defect. A transsphenoidal location is uncommon, representing 5% of all basal encephaloceles. The surgical treatment of transsphenoidal encephaloceles is challenging. An optimal approach has not yet been determined, and it varies according to the surgical experience. We report the surgical management of a transsphenoidal encephalocele. The encephalocele and the sellar defect were repaired through a sublabial transsphenoidal microsurgical approach (TSM). Preoperative magnetic resonance imaging (MRI) and computed tomography (CT) scans were crucial for surgical planning. The sublabial transsphenoidal microsurgical approach offered a good and complete exposure of both the sac and the bone defect. Therefore, the congenital defect was successfully repaired with complete resolution of the encephalocele without any surgical or medical complications. Postoperative CT scan and MRI showed the restoration of the bone defect and the recovery of a normal anatomy with herniated structures pushed back into the sella. The described sublabial transsphenoidal microsurgical approach represents a minimally invasive, safe, and effective treatment strategy for transsphenoidal encephalocele.
KW - Basal meningoencephalocele
KW - Congenital
KW - Microsurgery
KW - Transsphenoidal approach
KW - Transsphenoidal encephalocele
UR - http://www.scopus.com/inward/record.url?scp=85059632806&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85059632806&partnerID=8YFLogxK
U2 - 10.1007/s10143-018-01075-z
DO - 10.1007/s10143-018-01075-z
M3 - Article
C2 - 30607614
AN - SCOPUS:85059632806
VL - 42
SP - 571
EP - 575
JO - Neurosurgical Review
JF - Neurosurgical Review
SN - 0344-5607
IS - 2
ER -