PT - JOURNAL ARTICLE AU - Alhusain, Maha AU - Aladwani, Nawal TI - Incidental spontaneous CSF fistula with pterygoid process meningoencephalocele AID - 10.17712/nsj.2019.3.20180323 DP - 2019 Jul 01 TA - Neurosciences Journal PG - 231--235 VI - 24 IP - 3 4099 - http://nsj.org.sa/content/24/3/231.short 4100 - http://nsj.org.sa/content/24/3/231.full SO - Neurosciences (Riyadh)2019 Jul 01; 24 AB - Spontaneous cerebrospinal fluid (CSF) fistula is a rare entity, most commonly occurs at the ethmoid roof, cribriform plate, or the sphenoid sinus; at the perisella, inferolateral or pterygoid recesses. Imaging plays a major role in diagnosis, thereby guiding the treatment of a spontaneous CSF fistula, evolving multiple modalities. We report a case of a patient with spontaneous Meningio-encephalocele presented as an expansile lytic lesion in the left pterygoid body, this patient was successfully treated surgically.