Surgical implications of frontoethmoidal pneumosinus dilatans-associated proptosis caused by meningioma.
Acta Neurochir (Wien)
; 158(8): 1597-600, 2016 08.
Article
en En
| MEDLINE
| ID: mdl-27246632
ABSTRACT
Pneumosinus dilatans (PSD) involves paranasal sinus enlargement without radiologic evidence of localized bone destruction, hyperostosis, or mucous membrane thickening. We discuss the surgical implications of PSD-associated proptosis in patients with anterior skull-base meningioma. A 20-year-old man with proptosis, hypoglobus, and lateral globe displacement had WHO grade I anterior skull-base and orbital meningiomas. Aggressive resection using anterior/medial orbitotomy and an anterior interhemispheric skull-base approach achieved Simpson grade I resection. Postoperatively, his symptoms improved, with no recurrence at 2-year follow-up. Although PSD-associated proptosis is relatively uncommon, it carries important clinical implications in surgical management of skull-base and orbital meningiomas.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Hiperostosis
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Exoftalmia
/
Base del Cráneo
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Procedimientos Neuroquirúrgicos
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Neoplasias Meníngeas
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Meningioma
Tipo de estudio:
Risk_factors_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Acta Neurochir (Wien)
Año:
2016
Tipo del documento:
Article
País de afiliación:
Estados Unidos