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사골동 점액낭종 조대술 중 발생한 뇌 이탈 및 뇌척수액 비루 1예

A Case of Brain Herniation and Cerebrospinal Fluid Leakage during Endoscopic Marsupialization of Ethmoid Sinus Mucocele

대한이비인후과학회지-두경부외과학 2020년 63권 9호 p.427 ~ 431
이송재, 박상규, 최해원, 김경래,
소속 상세정보
이송재 ( Lee Song-Jae ) - Hanyang University College of Medicine Department of Otolaryngology-Head and Neck Surgery
박상규 ( Park Sang-Gyu ) - Hanyang University College of Medicine Department of Otolaryngology-Head and Neck Surgery
최해원 ( Choi Hae-Won ) - Hanyang University College of Medicine Department of Otolaryngology-Head and Neck Surgery
김경래 ( Kim Kyung-Rae ) - Hanyang University College of Medicine Department of Otolaryngology-Head and Neck Surgery

Abstract


Paranasal sinus mucocele is a slowly growing benign cystic lesion. It usually involves the frontal and ethmoid sinuses and can extend to adjacent structures, especially to the orbit, skull base and brain parenchyma. Prompt surgical intervention is needed when symptoms occur. Complete resection of mucocele is approached via endoscopic sinus surgery, while marsupialization is also widely considered. Recently, we encountered a case of spontaneous brain herniation and cerebrospinal fluid leakage during endoscopic marsupialization of ethmoid sinus mucocele. Herein, we report the case with a review of the literature.

키워드

Cerebrospinal fluid leakage; Ethmoid sinus; Mucocele

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