RT Journal Article SR Electronic T1 Incidental spontaneous CSF fistula with pterygoid process meningoencephalocele JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 231 OP 235 DO 10.17712/nsj.2019.3.20180323 VO 24 IS 3 A1 Maha Alhusain A1 Nawal Aladwani YR 2019 UL http://nsj.org.sa/content/24/3/231.abstract 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.