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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Main Authors: Prashant Gunawat, Salman Tehran Shaikh, Vikram Karmarkar, Chandrashekhar Deopujari, Nishit Shah
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
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.
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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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AT vikramkarmarkar endoscopicexcisionofsymptomaticsimplebonecystatskullbase
AT chandrashekhardeopujari endoscopicexcisionofsymptomaticsimplebonecystatskullbase
AT nishitshah endoscopicexcisionofsymptomaticsimplebonecystatskullbase