1. Ecchordosis physaliphora: a cautionary tale.
- Author
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Georgalas C, Terzakis D, Tsikna M, Alatzidou Z, de Santi S, Seccia V, and Dallan I
- Subjects
- Aged, 80 and over, Cerebrospinal Fluid Rhinorrhea surgery, Endoscopy, Female, Hamartoma diagnostic imaging, Humans, Male, Meningitis surgery, Middle Aged, Neurosurgical Procedures, Notochord diagnostic imaging, Notochord pathology, Notochord surgery, Cerebrospinal Fluid Rhinorrhea etiology, Hamartoma surgery, Meningitis etiology
- Abstract
Background: Ecchordosis physaliphora is a congenital, benign lesion originating from notochordal remnants along the craniospinal axis, most frequently located at the level of the clivus and sacrum. Sometimes ecchordosis physaliphora is difficult to recognise and treat, with a total of twenty-six cases described in the literature., Methods: This study reports on three cases of previously undiagnosed ecchordosis physaliphora presenting with cerebrospinal fluid rhinorrhoea and meningitis., Conclusion: Endoscopic transclival or transsphenoid surgery including three-layer (fat, fascia and nasoseptal flap) reconstruction was used in all cases with complete resolution of the symptoms.
- Published
- 2020
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