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Endoscopic endonasal approach of congenital meningoencephalocele surgery: first reported case in lithuania.

Balseris S, Strazdas G, Ročka S, Jakštas T - Case Rep Otolaryngol (2015)

Bottom Line: Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors.The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented.It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

View Article: PubMed Central - PubMed

Affiliation: Department of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, Lithuania.

ABSTRACT
Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

No MeSH data available.


Related in: MedlinePlus

((a)-(b)) CT scan for patient with suspected CSF leakage. Defect in anterior ethmoidal cells in lamina cribrosa area.
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fig1: ((a)-(b)) CT scan for patient with suspected CSF leakage. Defect in anterior ethmoidal cells in lamina cribrosa area.

Mentions: The patient complained about nasal discharge that was unilateral from the right side. 1 mL of nasal discharge in 10 minutes to a sterile test tube was collected. The fluid was clear and watery. It was examined and traces of protein were found and also 6.2 mmol/L of glucose level and cytosis of 1 cell in 3 visual fields; these results showed increased possibility of CSF leak. Defect in the skull base had to be found. CT scan was performed and a 1.8 cm × 0.5 cm sized bony defect in anterior ethmoidal cells in lamina cribrosa area (Figures 1(a) and 1(b)) was found. MRI was performed and gyrus rectus protrusion into ethmoidal cells was noticed (Figure 2). Transethmoidal meningoencephalocele and right sided nasal liquorrhea diagnosis was made.


Endoscopic endonasal approach of congenital meningoencephalocele surgery: first reported case in lithuania.

Balseris S, Strazdas G, Ročka S, Jakštas T - Case Rep Otolaryngol (2015)

((a)-(b)) CT scan for patient with suspected CSF leakage. Defect in anterior ethmoidal cells in lamina cribrosa area.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4383246&req=5

fig1: ((a)-(b)) CT scan for patient with suspected CSF leakage. Defect in anterior ethmoidal cells in lamina cribrosa area.
Mentions: The patient complained about nasal discharge that was unilateral from the right side. 1 mL of nasal discharge in 10 minutes to a sterile test tube was collected. The fluid was clear and watery. It was examined and traces of protein were found and also 6.2 mmol/L of glucose level and cytosis of 1 cell in 3 visual fields; these results showed increased possibility of CSF leak. Defect in the skull base had to be found. CT scan was performed and a 1.8 cm × 0.5 cm sized bony defect in anterior ethmoidal cells in lamina cribrosa area (Figures 1(a) and 1(b)) was found. MRI was performed and gyrus rectus protrusion into ethmoidal cells was noticed (Figure 2). Transethmoidal meningoencephalocele and right sided nasal liquorrhea diagnosis was made.

Bottom Line: Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors.The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented.It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

View Article: PubMed Central - PubMed

Affiliation: Department of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, Lithuania.

ABSTRACT
Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

No MeSH data available.


Related in: MedlinePlus