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Nandoliya KR, Sadagopan NS, Karras CL, Cohen LM, Magill ST. Exoscopic Repair of Orbital Meningoencephalocele Causing Pulsatile Proptosis: A 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown) 2024:01787389-990000000-01442. [PMID: 39681332 DOI: 10.1227/ons.0000000000001470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2024] [Accepted: 10/14/2024] [Indexed: 12/18/2024] Open
Affiliation(s)
- Khizar R Nandoliya
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Nishanth S Sadagopan
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Constantine L Karras
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Liza M Cohen
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Stephen T Magill
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
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Gaudioso P, Biancoli E, Battistuzzi V, Concheri S, Saccardo T, Franchella S, Contro G, Taboni S, Zanoletti E, Causin F, Nico L, Gabrieli JD, Maroldi R, Nicolai P, Ferrari M. A Pathophysiological Approach to Spontaneous Orbital Meningoceles: Case Report and Systematic Review. J Pers Med 2024; 14:465. [PMID: 38793047 PMCID: PMC11122061 DOI: 10.3390/jpm14050465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Accepted: 03/30/2024] [Indexed: 05/26/2024] Open
Abstract
BACKGROUND Spontaneous orbital cephaloceles are a rare condition. The purpose of this study is to provide a description of a clinical case and to carry out a systematic literature review. METHODS A systematic review of the English literature published on the Pubmed, Scopus, and Web of Science databases was conducted, according to the PRISMA recommendations. RESULTS A 6-year-old patient was admitted for right otomastoiditis and thrombosis of the sigmoid and transverse sinuses, as well as the proximal portion of the internal jugular vein. Radiological examinations revealed a left orbital mass (22 × 14 mm) compatible with asymptomatic orbital meningocele (MC) herniated from the superior orbital fissure (SOF). The child underwent a right mastoidectomy. After the development of symptoms and signs of intracranial hypertension (ICH), endovascular thrombectomy and transverse sinus stenting were performed, with improvement of the clinical conditions and reduction of the orbital MC. The systematic literature review encompassed 29 publications on 43 patients with spontaneous orbital MC. In the majority of cases, surgery was the preferred treatment. CONCLUSIONS The present case report and systematic review highlight the importance of ICH investigation and a pathophysiological-oriented treatment approach. The experiences described in the literature are limited, making the collection of additional data paramount.
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Affiliation(s)
- Piergiorgio Gaudioso
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
- Oncology and Immunology (PhD Program), Department of Surgery Oncology and Gastroenterology (DiSCOG), University of Padova, 35128 Padova, Italy
| | - Elia Biancoli
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
| | - Veronica Battistuzzi
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
| | - Stefano Concheri
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
| | - Tommaso Saccardo
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
| | - Sebastiano Franchella
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
| | - Giacomo Contro
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
- Technology for Health (PhD Program), Department of Information Engineering, University of Brescia, 25123 Brescia, Italy
| | - Stefano Taboni
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
- Artificial Intelligence in Medicine and Innovation in Clinical Research and Methodology (PhD Program), Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy
| | - Elisabetta Zanoletti
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
| | - Francesco Causin
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
- Section of Neuroradiology, Department of Diagnostic Imaging and Interventional Radiology, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (F.C.); (L.N.); (J.D.G.)
| | - Lorena Nico
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
- Section of Neuroradiology, Department of Diagnostic Imaging and Interventional Radiology, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (F.C.); (L.N.); (J.D.G.)
| | - Joseph Domenico Gabrieli
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
- Section of Neuroradiology, Department of Diagnostic Imaging and Interventional Radiology, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (F.C.); (L.N.); (J.D.G.)
| | - Roberto Maroldi
- Division of Radiology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy;
| | - Piero Nicolai
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
| | - Marco Ferrari
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (P.G.); (E.B.); (V.B.); (S.C.); (T.S.); (S.F.); (G.C.); (S.T.); (E.Z.); (P.N.)
- Unit of Otorhinolaryngology—Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy
- Guided Therapeutics (GTx) Program International Scholarship, University Health Network (UHN), Toronto, ON M5G 2C4, Canada
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Mbaye M, Thiam AB, Cissue MA, Faye M, Ndiaye SYEHC, Thioub M, Ndoye N, Code Ba M, Badiane SB. Orbital meningocele in two case studies. Surg Neurol Int 2020; 11:119. [PMID: 32494394 PMCID: PMC7265386 DOI: 10.25259/sni_148_2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 04/29/2020] [Indexed: 11/23/2022] Open
Abstract
Background: Orbital meningocele is a rare congenital malformation characterized by herniation of the meninges into the orbit through a congenital defect in the orbital bones. Much less commonly, it occurs at the site of natural openings (e.g., optic foramen and sphenoidal fissure) or can be attributed to trauma. Cases Description: We report two patients with progressive proptosis found to have orbital meningoceles, respectively, attributed to congenital and traumatic lesions. The computed tomography scan in one case documented a traumatic orbital bony defect, but in the other case, led the mistaken diagnosis of an arachnoid cyst. Conclusion: Both patients underwent two operations each to ultimately achieve successful surgical correction of their respective traumatic and congenital orbital meningoceles.
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Affiliation(s)
- Maguette Mbaye
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - Alioune Badara Thiam
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - Mohamed Abdoulaye Cissue
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - Mohameth Faye
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - S Y El Hadji Cheikh Ndiaye
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - Mbaye Thioub
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - Ndaraw Ndoye
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - Momar Code Ba
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
| | - Seydou Boubakar Badiane
- Neurosurgery Unit, Cheikh Anta Diop University, Fann Teaching Hospital, Avenue Cheikh Anta Diop, Dakar, Senegal
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