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Vol. 20. Issue 1.
Pages 50-53 (January 2009)
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Vol. 20. Issue 1.
Pages 50-53 (January 2009)
Recurrent meningitis and persistence of craniopharyngeal canal: Case report
Meningitis de repetición y canal craneofaríngeo persistente: a propósito de un caso
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D. Pinilla-Arias
, J. Hinojosa, J. Esparza
Departments. Hospital Infantil Doce de Octubre. Madrid
A. Muñoz*
* Paediatric Neurosurgery and Neuroradiological
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Summary

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.

Key words:
Sphenoid bone
Encephalocele
Transcranial approach
Transpalatal approach
Pituitary
Resumen

Objetivos. El Canal Craneofaríngeo es una rara malformación del esfenoides que ha sido descrito hasta en el 0,42% de la población asintomática. Se le ha relacionado con la formación de la Bolsa de Rathke durante el desarrollo embrionario aunque existen autores que opinan que se trata de un vestigio de un canal vascular primitivo.

Métodos. Presentamos el caso de un niño de cuatro años y medio que desarrolló un cuadro de meningitis de repetición asociado a esta anomalía. Revisamos la literatura para discutir su formación, manifestaciones clínicas y opciones de tratamiento.

Conclusión. Dada su baja incidencia y las dificultades diagnósticas es necesario un alto índice de sospecha durante el estudio de un caso de meningitis de repetición o fístula espontánea de líquido cefalorraquídeo. Existe una gran controversia en lo referente al abordaje quirúrgico idóneo

Palabras clave:
Esfenoides
Encefalocele
Abordaje transcraneal
Abordaje transpalatal
Glándula hipófisis,

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