Menu
  • Publish Your Research/Review Articles in our High Quality Journal for just USD $99*+Taxes( *T&C Apply)

Research Article

Sternberg's Canal Defect and It’s Sequelae of Csf Leak, Spontaneous Pneumocephalus and DEJAVU Seizure

Zainab Sachit Hashim*, Ali Saud, Ammar Abdulkadhm, and Hani Musa Bader

Corresponding Author: Zainab Sachit Hashim, Endoscopic Skull Base Surgery Centre, Medical City Teaching Hospital, Baghdad, Iraq.

Received: April 26, 2022 ;    Revised: May 05, 2022 ;    Accepted: May 08, 2022

Citation: Hashim ZS, Saud A, Abdulkadhm A & Bader HM. (2022) Sternberg's Canal Defect and It’s Sequelae of Csf Leak, Spontaneous Pneumocephalus and DEJAVU Seizure. Int J Med Microbiol Immunol

Copyrights: ©2022 Hashim ZS, Saud A, Abdulkadhm A & Bader HM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Share Your Publication :

Views & Citations

3797

Likes & Shares

0


Global Views

  • Abstract
  • Full Text
  • Images
  • Tables
  • References
  • PDF
  • Supplementary Files

Abstract

Background: We described a patient with spontaneous pneumocephalus probably arising from Sternberg’s canal of the sphenoid sinus. Spontaneous Pneumocephalus (PNC) associated with Cerebrospinal (CSF) fluid leaks and Intrasphenoidal Meningocephalocele are extremely rare findings and represent a condition bearing serious risks for the patient. Sternberg’s canal is a lateral craniopharyngeal canal resulting from incomplete fusion of the greater wings of the sphenoid bone with the basisphenoid. It acts as a weak spot of the skull base, which may lead to develop a temporal lobe meningocephalocele protruding into the lateral recess of the sphenoid sinus (SS).

Case description: A 27-year-old male, presented with left cerebrospinal fluid (CSF) rhinorrhea, referred from the neurosurgical department with severe headache, and low-grade fever. Radiological investigations consisted of computed Tomography (CT) scan, this imaging study identified a soft tissue density Through a bony defect which communicates the middle cranial fossa with the lateral recess of the SS, and pneumocephalus of left temporal lobe.  Patient underwent an Endoscopic Endonasal repair of the defect. There was no complication related to the surgical procedure and no recurrence of CSF leakage occurred 4 months after surgery.

Conclusion: A persisting Sternberg’s canal should be considered the source of Spontaneous Pneumocephalus and CSF-leaks with or without meningoencephaloceles in sphenoid sinuses with extensive lateral pneumatization, especially when located laterally and below the maxillary nerve. Endoscopic endonasal surgery is safe as no intraoperative complications occurred in our patient. It is less traumatic, providing a good access and view of the surgical field. Our case is among the rare reported cases.

Keywords: Cerebrospinal fluid rhinorrhea, Intrasphenoidal meningoencephalocele, Lateral craniopharyngeal canal, Lateral recess, Sphenoid sinus, Sternberg’s canal

Mpgyi