case_images: PMC7227746_01
case_images: CT scan coronal section shows defect in the left greater wing of the sphenoid into the pterygopalatine fossa and retromaxillary space
case_images: JPN-15-25-g001.jpg
case_images: PMC7227746_01_JPN-15-25-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) of brain revealed herniation of the brain along with the dura through a defect in the left greater wing of the sphenoid into the pterygopalatine fossa and retromaxillary space [Figures 1-3].
case_images: CT axial section shows defect in the left greater wing of the sphenoid
case_images: JPN-15-25-g002.jpg
case_images: PMC7227746_01_JPN-15-25-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) of brain revealed herniation of the brain along with the dura through a defect in the left greater wing of the sphenoid into the pterygopalatine fossa and retromaxillary space [Figures 1-3].
case_images: Herniated glial tissue through the defect
case_images: JPN-15-25-g003.jpg
case_images: PMC7227746_01_JPN-15-25-g003.jpg
case_images: F3
case_images: Magnetic resonance imaging (MRI) of brain revealed herniation of the brain along with the dura through a defect in the left greater wing of the sphenoid into the pterygopalatine fossa and retromaxillary space [Figures 1-3]. Computed tomography (CT) Brain & CT cisternography (Figures 3-5) revealed bony defect in the middle cranial fossa in the left greater wing of sphenoid with CSF leak.
case_images: 3D reconstructed image showing the defect (white arrow)
case_images: JPN-15-25-g004.jpg
case_images: PMC7227746_01_JPN-15-25-g004.jpg
case_images: F4
case_images: Computed tomography (CT) Brain & CT cisternography (Figures 3-5) revealed bony defect in the middle cranial fossa in the left greater wing of sphenoid with CSF leak.
case_images: CT cisternography:leak noted through the defect in sphenoid bone and contrast seen filling the sac
case_images: JPN-15-25-g005.jpg
case_images: PMC7227746_01_JPN-15-25-g005.jpg
case_images: F5
case_images: Computed tomography (CT) Brain & CT cisternography (Figures 3-5) revealed bony defect in the middle cranial fossa in the left greater wing of sphenoid with CSF leak.
case_images: Defect seen intraoperatively after reduction of herniated sac
case_images: JPN-15-25-g006.jpg
case_images: PMC7227746_01_JPN-15-25-g006.jpg
case_images: F6
case_images: Herniation of the dural sac along with its contents through the bony defect in the greater sphenoid wing was identified lateral to the V2 nerve passing through the foramen rotundum [Figure 6].
case_images: Defect covered with titanium mesh
case_images: JPN-15-25-g007.jpg
case_images: PMC7227746_01_JPN-15-25-g007.jpg
case_images: F7
case_images: Bony defect was covered with a circular titanium plate fixed to the base with 4mm screws [Figure 7].