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Paper Details

Bilateral Fallopian Canal Meningocele: Case Report and Literature Review

Bilateral Fallopian Canal Meningocele: Case Report and Literature Review

Vito Pontillo and Nicola Quaranta

Journal Title:Acta Scientific Otolaryngology

Meningocele of the fallopian canal is assumed to be related to a defective ossification of the Facial Canal and to a subsequent dila- tation of the subarachnoid space within this canal. We bring our personal experience with a singular case of bilateral fallopian canal meningocele of a 48-year-old woman with a history of right otogenic meningitis. Considering the high risk of iatrogenic CSF fistula or facial palsy, it was decided to proceed by exclusively treating the right meningocele, while monitoring the left side. We carried out a subsequent analysis of the literature in order to verify the accuracy of our strategy. A comprehensive search was conducted in PubMed from January 1, 1966, through December 31, 2020. To the best of our knowl- edge, 25 cases of fallopian canal meningocele were reported in the literature thus far, and only one of them with bilateral presenta- tion. All the surgical strategies were analysed. Surgical approach to this condition must be tailored to the single case, especially in the unlikely circumstance of bilateral pres- entation. We propose our treatment strategy to this rare condition, in the lights of the literature debate and our personal experience. Keywords: Bilateral; Fallopian Canal; Facial Canal; Meningocele