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Neurocirugía
Print version ISSN 1130-1473
Abstract
PINILLA-ARIAS, D.; HINOJOSA, J.; ESPARZA, J. and MUNOZ, A.. Recurrent meningitis and persistence of craniopharyngeal canal: case report. Neurocirugía [online]. 2009, vol.20, n.1, pp.50-53. ISSN 1130-1473.
Objects. Craniopharyngeal Canal is a rare malformation of the sphenoid bone described in up to 0.42% of the asymptomatic population. It's been related to the development of the Rathke's pouch during embrionary period although some authors think it's a vestige of a former vascular channel. Methods. This report details a case of a four and a half years old child that developed recurrent meningitis associated with this anomaly. Its origin, clinical manifestations and treatment options are discussed. Conclusion. Due to its low incidence and diagnostic difficulties, a high suspicion index is required while studying a case of recurrent meningitis or CSF leakage. Surgical approach is still controversial.
Keywords : Sphenoid bone; Encephalocele; Transcranial approach; Transpalatal approach; Pituitary.