International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 2 , Pages 66-71 , March 2009

Endoscopic endonasal excision of congenital midline meningoencephalocele in a 5-month infant

  • Omar A. El-Banhawy

      Affiliations

    • El Hekma Hospital for neurosurgery, El Mansoura, Egypt
    • Working Address: El-Menoufiya Univeristy, El-Menoufiya Governorate, Egypt.
    • Corresponding Author InformationCorresponding author. Tel.: +20 50 2332206; fax: +20 50 2332206.
    • ,
  • Ahmed N. Halaka

      Affiliations

    • El-Menoufiya University, ENT Department, Borg El-Ula, 7th floor, El-Mansoura, Egypt

Received 9 May 2008 ,Revised 19 June 2008 ,Accepted 19 June 2008.

  • Image Result

    Plain axial CT scan of the head in coronal (A and B), axial (C and D) and sagittal (E) views. They showed soft tissue density lesion filling the right nasal fossa. A small bony defect was seen in the

    Plain axial CT scan of the head in coronal (A and B), axial (C and D) and sagittal (E) views. They showed soft tissue density lesion filling the right nasal fossa. A small bony defect was seen in the most anterior part of anterior cranial fossa in the middle line (yellow arrow) and slightly to right side adjacent to crista galli suggesting meningoencephalocele.

  • Image Result
    Non-contrast MRI of the head and brain using different pulse sequences in coronal (A–C) and sagittal (D and E) views. The mass showed the same criteria as on CT with fluid signal intensity.

    Non-contrast MRI of the head and brain using different pulse sequences in coronal (A–C) and sagittal (D and E) views. The mass showed the same criteria as on CT with fluid signal intensity.

  • Image Result
    Preoperative (left side) and postoperative (right side) (5 months after surgery) plain CT scan of the same case in axial (A and B), coronal (C and D) and sagittal (E and F) showing complete removal of

    Preoperative (left side) and postoperative (right side) (5 months after surgery) plain CT scan of the same case in axial (A and B), coronal (C and D) and sagittal (E and F) showing complete removal of the lesion and sealing of skull base defect. The grafted area of skull base looked in a different resolution due to either thin slices of the CT taken or due to the healing process of the grated material used (mucoperiostium of the inferior nasal turbinate).

PII: S1871-4048(08)00050-6

doi: 10.1016/j.pedex.2008.06.008

International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 2 , Pages 66-71 , March 2009

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