Abstract | BACKGROUND: Nasal cerebral heterotopia is a congenital lesion that is mainly detected in early childhood. The rare cases of this disorder found in adult patients are located intranasally. A common symptom is compromised nasal air passage. Clinical findings include polypoid masses in either the nasal cavity or the paranasal sinuses. To our knowledge, primary cerebrospinal fluid ( CSF) rhinorrhea has been reported only twice in these patients. PATIENT: A 64-year-old female patient presented with CSF rhinorrhea proven by beta 2-transferrin testing. Previous head injury or intranasal manipulation were excluded. Anterior rhinoscopy revealed a watery drainage from the right middle meatus. CT scan showed a defect in the lateral roof of the right ethmoid sinus, approximately 5 mm in diameter; MRI revealed a mass in the right ethmoid and frontal sinuses, penetrating the anterior skull base. The lesion was resected by an extranasal approach. It showed a fibrous connection to the frontal lobe. Histologically, the lesion consisted of neural tissue composed of gray and white matter, both with a normal structuring. Dura and skull base were reconstructed. There were no signs of a CSF leak postoperatively. RESULTS AND CONCLUSIONS:
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Authors | N Kleinsasser, P A Winkler, S Weis, L Reiterer, G Grevers |
Journal | Laryngo- rhino- otologie
(Laryngorhinootologie)
Vol. 75
Issue 8
Pg. 483-7
(Aug 1996)
ISSN: 0935-8943 [Print] Germany |
Vernacular Title | Nasale zerebrale Heterotopie (nasales Gliom) des Erwachsenen: seltene Ursache einer primären Rhinoliquorrhoe. |
PMID | 8962611
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Adult
- Cerebrospinal Fluid Rhinorrhea
(etiology, pathology, surgery)
- Choristoma
(complications, pathology, surgery)
- Diagnosis, Differential
- Female
- Humans
- Magnetic Resonance Imaging
- Middle Aged
- Nose
(pathology)
- Nose Diseases
(complications, pathology, surgery)
- Tomography, X-Ray Computed
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