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Inicio Acta Otorrinolaringológica Española Rinolicuorrea de etiología atípica: encefalocele espontáneo temporal bilatera...
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Vol. 63. Issue 3.
Pages 237-240 (May - June 2012)
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Vol. 63. Issue 3.
Pages 237-240 (May - June 2012)
Caso clínico
Rinolicuorrea de etiología atípica: encefalocele espontáneo temporal bilateral
Atypical etiology of rhinorrhea: spontaneous bilateral temporal encephalocele
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Asís Lorente Muñoza,
Corresponding author
asislm@hotmail.com

Autor para correspondencia.
, María Pilar Lisbona Alquézarb, Luis González Martíneza, Jorge Sevil Navarrob, Eva María Llorente Arenasb
a Servicio de Neurocirugía, Hospital Universitario Miguel Servet, Zaragoza, España
b Servicio de Otorrinolaringología, Hospital Universitario Miguel Servet, Zaragoza, España
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Resumen

La herniación espontánea de tejido cerebral a través de un defecto óseo y dural a nivel temporal es una rara entidad, siendo todavía más infrecuente que esta circunstancia se produzca de forma bilateral. La presentación suele ser en forma de otorrea intermitente y persistente en el tiempo. La manifestación como rinolicuorraquia es muy poco habitual. El objetivo es presentar este inusual caso de un encefalocele espontáneo bilateral por defecto bilateral del tegmen tympani.

Palabras clave:
Fístula de líquido cefalorraquídeo
Encefalocele
Fosa craneal media
Tegmen tympani
Abordajes quirúrgicos
Abstract

Spontaneous herniation of brain parenchyma through a dural and osseous defect in the temporal bone is a rare entity and a bilateral form is even more infrequent. It usually presents as an intermittent but persistent otorrhea. Manifestation as nose cerebrospinal fluid (CSF) leak is very uncommon. Our objective is presenting this unusual case report of a spontaneous bilateral encephalocele with a bilateral tegmen tympani defect.

Keywords:
CSF leak
Encephalocele
Middle cranial fossa
Tegmen tympani
Surgical approaches

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