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Mohamed Abdalla, K., Nathaniel Mbaba, A., & Mustapha Ahmed, H. (2023). Idiopathic Intracranial Hypertension With Transcribriform Plate Intranasal Meningocele Without Cerebrospinal Fluid Rhinorrhea: A Case Report. Sudan Journal of Medical Sciences (SJMS), 18(4), 552–560. https://doi.org/10.18502/sjms.v18i4.14744
https://doi.org/10.18502/sjms.v18i4.14744
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Khalid Mohamed Abdalla
Khalid Mohamed Abdalla
Department of Radiology, King Abdullah Hospital, Bisha, Saudi Arabia
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Awajimijan Nathaniel Mbaba
Awajimijan Nathaniel Mbaba
Department of Radiology, King Abdullah Hospital, Bisha, Saudi Arabia
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Hamza Mustapha Ahmed
Hamza Mustapha Ahmed
Department of Radiology, King Abdullah Hospital, Bisha, Saudi Arabia
Published Date
- Dec 29, 2023
Idiopathic Intracranial Hypertension With Transcribriform Plate Intranasal Meningocele Without Cerebrospinal Fluid Rhinorrhea: A Case Report
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
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[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
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[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
[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