Transethmoidal Meningoencephalocele Involving the Olfactory Bulb With Enlarged Foramina of the Lamina Cribrosa -Case Report
| Autor: | Kazunori Arita, Yoshifumi Kawano, Mika Habu, Masaki Niiro, Mitsuo Toyoshima, Shoji Matsune |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Nasal cavity
medicine.medical_specialty Cerebrospinal Fluid Rhinorrhea Meningocele Neurosurgical Procedures Subarachnoid Space Surgical Flaps Ethmoid Sinus Ethmoid sinus Head Injuries Closed medicine Foramen Humans Meningitis Encephalocele rhinorrhea Cephalocele business.industry Left olfactory bulb Endoscopy Ethmoid bone Anatomy Olfactory Bulb Anti-Bacterial Agents Otorhinolaryngologic Surgical Procedures Surgery Ethmoid Bone Treatment Outcome medicine.anatomical_structure Child Preschool Female Neurology (clinical) Arachnoid Nasal Cavity medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Neurologia medico-chirurgica. 49:269-272 |
| ISSN: | 1349-8029 0470-8105 |
| DOI: | 10.2176/nmc.49.269 |
| Popis: | A 3-year-old girl presented with a transethmoidal meningoencephalocele manifesting as recurrent rhinorrhea. Initially, she developed meningitis, but after treatment she experienced rhinorrhea. Two months later, she again presented with rhinorrhea. Neuroimaging studies revealed a small protrusion (15 mm x 10 mm) at the roof of the ethmoidal sinus. Nasal endoscopy confirmed the diagnosis of meningoencephalocele. The operative findings revealed a small hole in the left olfactory bulb, which had descended into an enlarged foramen along with the arachnoid membrane. The left olfactory bulb was removed, and the enlarged foramina of the lamina cribrosa were covered with a frontal pericranial flap. The defect in the bone was very small, but contributed to the development of meningitis and leakage of the cerebrospinal fluid. Basal cephalocele should be considered in a patient with recurrent rhinorrhea and intracranial infections, even in the absence of any apparent anomaly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|