Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull Base
Seizure is a classical feature of intra axial brain parenchymal lesion. Simple bone cyst is an unusual bony pathology at skull base presenting with unexpected symptoms of complex partial seizures. Skull base neuro-endoscopy has managed such lesions more effectively with reduced post-operative morb...
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JCDR Research and Publications Private Limited
2016-10-01
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Series: | Journal of Clinical and Diagnostic Research |
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Online Access: | https://jcdr.net/articles/PDF/8646/20684_CE[Ra]_F(P)PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
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author | Prashant Gunawat Salman Tehran Shaikh Vikram Karmarkar Chandrashekhar Deopujari Nishit Shah |
author_facet | Prashant Gunawat Salman Tehran Shaikh Vikram Karmarkar Chandrashekhar Deopujari Nishit Shah |
author_sort | Prashant Gunawat |
collection | DOAJ |
description | Seizure is a classical feature of intra axial brain parenchymal lesion. Simple bone cyst is an unusual bony pathology at skull base
presenting with unexpected symptoms of complex partial seizures. Skull base neuro-endoscopy has managed such lesions more
effectively with reduced post-operative morbidity as compared to transcranial approach. This case report discusses a 20-year-old male
who presented with 3 episodes of seizure over a time period of 10 months. MRI brain revealed T1 hypo and T2 hyper intense cystic
lesion in middle cranial fossa with no enhancement on contrast administration. CT scan showed cystic lesion involving greater wing and
pterygoid plate of sphenoid on left side. CT cisternographic evaluation showed CSF outpouching in the sphenoid air sinus. Excision of
the cystic lesion was carried out through endoscopic transmaxillary transpterygoid approach. Histopathological examination showed
the lesion to be a simple bone cyst. |
first_indexed | 2024-12-10T12:31:29Z |
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id | doaj.art-eaded41f1b3544b2a143b568a724a582 |
institution | Directory Open Access Journal |
issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-12-10T12:31:29Z |
publishDate | 2016-10-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
spelling | doaj.art-eaded41f1b3544b2a143b568a724a5822022-12-22T01:48:48ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-10-011010PD03PD0410.7860/JCDR/2016/20684.8646Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull BasePrashant Gunawat0Salman Tehran Shaikh1Vikram Karmarkar2Chandrashekhar Deopujari3Nishit Shah4Consultant Neurosurgeon, Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India. Senior Resident, Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.Consultant Neurosurgeon, Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.Professor and Head of Department, Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India. Consultant ENT Surgeon, Department of ENT, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.Seizure is a classical feature of intra axial brain parenchymal lesion. Simple bone cyst is an unusual bony pathology at skull base presenting with unexpected symptoms of complex partial seizures. Skull base neuro-endoscopy has managed such lesions more effectively with reduced post-operative morbidity as compared to transcranial approach. This case report discusses a 20-year-old male who presented with 3 episodes of seizure over a time period of 10 months. MRI brain revealed T1 hypo and T2 hyper intense cystic lesion in middle cranial fossa with no enhancement on contrast administration. CT scan showed cystic lesion involving greater wing and pterygoid plate of sphenoid on left side. CT cisternographic evaluation showed CSF outpouching in the sphenoid air sinus. Excision of the cystic lesion was carried out through endoscopic transmaxillary transpterygoid approach. Histopathological examination showed the lesion to be a simple bone cyst.https://jcdr.net/articles/PDF/8646/20684_CE[Ra]_F(P)PF1(AGAK)_PFA(AK)_PF2(PAG).pdfendoscopic transmaxillary transpterygoid approachseizuresimple bone cystunicameral |
spellingShingle | Prashant Gunawat Salman Tehran Shaikh Vikram Karmarkar Chandrashekhar Deopujari Nishit Shah Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull Base Journal of Clinical and Diagnostic Research endoscopic transmaxillary transpterygoid approach seizure simple bone cyst unicameral |
title | Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull Base |
title_full | Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull Base |
title_fullStr | Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull Base |
title_full_unstemmed | Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull Base |
title_short | Endoscopic Excision of Symptomatic Simple Bone Cyst at Skull Base |
title_sort | endoscopic excision of symptomatic simple bone cyst at skull base |
topic | endoscopic transmaxillary transpterygoid approach seizure simple bone cyst unicameral |
url | https://jcdr.net/articles/PDF/8646/20684_CE[Ra]_F(P)PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
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