REPAIR OF TEMPOROSPHENOIDAL ENCEPHALOCELE WITH A VASCULARIZED SPLIT CALVARIAL CRANIOPLASTY - TECHNICAL CASE-REPORT

A 54-YEAR-OLD WOMAN was referred for the evaluation and treatment of s pontaneous cerebrospinal fluid rhinorrhea. Magnetic resonance imaging revealed a right anteromedial intrasphenoidal encephalocele with ciste rnography showing the flow of contrast into the sphenoid encephalocele . Transcranial surgical repair was performed. This included the use of a vascularized split-thickness calvarial graft fixated over the crani al base defect with a titanium microplate. The technical details of th is repair are discussed. Ten cases of temporosphenoidal encephaloceles have been reported. The literature concerning this rare form of encep halocele is reviewed.