Sudan Journal of Medical Sciences

ISSN: 1858-5051

High-impact research on the latest developments in medicine and healthcare across MENA and Africa

Idiopathic Intracranial Hypertension With Transcribriform Plate Intranasal Meningocele Without Cerebrospinal Fluid Rhinorrhea: A Case Report

Published date: Dec 29 2023

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 18 (2023), Issue No. 4

Pages: 552–560

DOI: 10.18502/sjms.v18i4.14744

Authors:

Khalid Mohamed Abdalladr.khalidmabdalla@gmail.comDepartment of Radiology, King Abdullah Hospital, Bisha, Saudi Arabia

Awajimijan Nathaniel MbabaDepartment of Radiology, King Abdullah Hospital, Bisha, Saudi Arabia

Hamza Mustapha AhmedDepartment of Radiology, King Abdullah Hospital, Bisha, Saudi Arabia

Abstract:

Idiopathic intracranial hypertension (IIH) is a rare disorder of unclear pathogenesis occurring commonly in obese women of childbearing age and characterized by increased intracranial pressure in the absence of intracranial space-occupying lesion or cerebrospinal fluid outflow obstruction. We report a rare case of a middle-aged obese female with intractable headache referred to the department of radiology for neuroimaging on account of suspected dural sinus thrombosis and brain Magnetic Resonance Imaging (MRI) which revealed signs of IIH with asymptomatic transcribriform plate intranasal meningocele with a view to underscore the quiddity of IIH in middleaged obese females and also emphasize the need for radiologists to diligently review previous patient’s images where available for possible finding that could contribute to a suspected diagnosis.

Keywords: headache, idiopathic intracranial hypertension, intranasal meningocele

References:

[1] Ghimire, A., Acharya, A. R., Karn, A., & Kumar Jha, M. (2021). Idiopathic intracranial hypertension: A case report. JNMA; Journal of the Nepal Medical Association, 59(234), 197–199. https://doi.org/10.31729/jnma.5176

[2] Sunderland, G. J., Jenkinson, M. D., Conroy, E. J., Gamble, C., & Mallucci, C. L. (2021). Neurosurgical CSF diversion in idiopathic intracranial hypertension: A narrative review. Life, 11, 393. https://doi.org/10.3390/life11050393

[3] Wall, M., Kupersmith, M. J., Kieburtz, K. D., Corbett, J. J., Feldon, S. E., Friedman, D. I., Katz, D. M., Keltner, J. L., Schron, E. B., McDermott, M. P., & the NORDIC Idiopathic Intracranial Hypertension Study Group. (2014). The idiopathic intracranial hypertension treatment trial: Clinical profile at baseline. JAMA Neurology, 71(6), 693– 701. https://doi.org/10.1001/jamaneurol.2014.133

[4] Kilgore, K. P., Lee, M. S., Leavitt, J. A., Mokri, B., Hodge, D. O., Frank, R. D., & Chen, J. J. (2017). Re-evaluating the incidence of idiopathic intracranial hypertension in an era of increasing obesity. Ophthalmology, 124, 697–700. https://doi.org/10.1016/j.ophtha.2017.01.006

[5] Mollan, S. P., Aguiar, M., Evison, F., Frew, E., & Sinclair, A. J. (2019). The expanding burden of idiopathic intracranial hypertension. Eye, 33, 478–485. https://doi.org/10.1038/s41433-018-0238-5

[6] Galgano, M. A., & Deshaies, E. M. (2013). An update on the management of pseudotumor cerebri. Clinical Neurology and Neurosurgery, 115, 252–259. https://doi.org/10.1016/j.clineuro.2012.11.018

[7] Smith, S. V., & Friedman, D. I. (2017). The idiopathic intracranial hypertension treatment trial: A review of the outcomes. Headache, 57(8), 1303–1310. https://doi.org/10.1111/head.13144

[8] Albakr, A., Hamad, M. H., Alwadei, A. H., Bashiri, F. A., Hassan, H. H., Idris, H., Hassan, S., Muayqil, T., Altweijri, I., & Salih, M. A. (2016). Idiopathic intracranial hypertension in children: Diagnostic and management approach. Sudanese Journal of Paediatrics, 16(2), 67–76.

[9] Aggarwal, V., Nair, P., Shivhare, P., Jayadevan, E. R., Felix, V., Abraham, M., & Nair, S. (2017). A case of evolving bilateral sphenoidal meningoencephaloceles: Case report and review of the literature. World Neurosurgery, 100, 708.e11–708.e17. https://doi.org/10.1016/j.wneu.2017.02.037

[10] Radonjic, A., Kassab, A. M., Moldovan, I. D., Kilty, S., & Alkherayf, F. (2019). Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: A case report and review of the literature. Journal of Medical Case Reports, 13(1), 62. https://doi.org/10.1186/s13256-018-1959-6

[11] Pérez, M. A., Bialer, O. Y., Bruce, B. B., Newman, N. J., & Biousse, V. (2013, December). Primary spontaneous cerebrospinal fluid leaks and idiopathic intracranial hypertension. Journal of Neuro-Ophthalmology, 33(4), 330–337. https://doi.org/10.1097/WNO.0b013e318299c292

[12] Madriz Peralta, G., & Cestari, D. M. (2018, November). An update of idiopathic intracranial hypertension. Current Opinion in Ophthalmology, 29(6), 495–502. https://doi.org/10.1097/ICU.0000000000000518

[13] Mollan, S. P., Ali, F., Hassan-Smith, G., Botfield, H., Friedman, D. I., & Sinclair, A. J. (2016). Evolving evidence in adult idiopathic intracranial hypertension: Pathophysiology and management. Journal of Neurology, Neurosurgery, and Psychiatry, 87, 982–992. https://doi.org/10.1136/jnnp-2015-311302

[14] Sinclair, A. J., Kuruvath, S., Sen, D., Nightingale, P. G., Burdon, M. A., & Flint, G. (2011). Is cerebrospinal fluid shunting in idiopathic intracranial hypertension worthwhile? A 10- year review. Cephalalgia, 31, 1627–1633. https://doi.org/10.1177/0333102411423305

[15] Bidot, S., Levy, J. M., Saindane, A. M., Narayana, K. M., Dattilo, M., DelGaudio, J. M., Mattox, D. E., Oyesiku, N. M., Peragallo, J. H., Solares, C. A., Vivas, E. X., Wise, S. K., Newman, N. J., & Biousse, V. (2021). Spontaneous skull base cerebrospinal fluid leaks and their relationship to idiopathic intracranial hypertension. American Journal of Rhinology & Allergy, 35(1), 36–43. https://doi.org/10.1177/1945892420932490

[16] Illing, E., Schlosser, R. J., Palmer, J. N., Curé, J., Fox, N., & Woodworth, B. A. (2014). Spontaneous sphenoid lateral recess cerebrospinal fluid leaks arise from intracranial hypertension, not Sternberg’s canal. International Forum of Allergy & Rhinology, 4(3), 246–250. https://doi.org/10.1002/alr.21262

[17] Aaron, G., Doyle, J., Vaphiades, M. S., Riley, K. O., & Woodworth, B. A. (2014). Increased intracranial pressure in spontaneous CSF leak patients is not associated with papilledema. Otolaryngology – Head and Neck Surgery, 151(6), 1061–1066. https://doi.org/10.1177/0194599814551122

[18] Fiebai, B., & Chukwuka, I. O. (2011). Presumed idiopathic intracranial hypertension: A case report and literature review. [Erratum in: Nigerian Journal of Medicine. 2011 Jul-Sep;20] [3] [:390. Chukwuka, I F ,corrected to Chukwuka, I O]. Nigerian Journal of Medicine, 20(2), 289–291.

[19] Wawhal, M., Mogal, V., Patil, P., Kakde, R., Sonawane, M., & Gole, D. P. (2014). Idiopathic intracranial hypertension: A case report and brief review of literature. IOSR Journal of Dental and Medical Sciences, 13(12), 55–57. https://doi.org/10.9790/0853-131265557

[20] Yang, Z., Wang, B., Wang, C., & Liu, P. (2011). Primary spontaneous cerebrospinal fluid rhinorrhea: A symptom of idiopathic intracranial hypertension? Journal of Neurosurgery, 115, 165–170. https://doi.org/10.3171/2011.3.JNS101447

[21] Bialer, O. Y., Rueda, M. P., Bruce, B. B., Newman, N. J., Biousse, V., & Saindane, A. M. (2014). Meningoceles in idiopathic intracranial hypertension. AJR. American Journal of Roentgenology, 202(3), 608–613. https://doi.org/10.2214/AJR.13.10874

Download
HTML
Cite
Share
statistics

336 Abstract Views

239 PDF Downloads