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Related Experiment Videos

[Diagnosis and therapy of the nasoethmoidal encephaloceles (author's transl)].

M Schäfer, K Von Wild, H Grau

    Laryngologie, Rhinologie, Otologie
    |July 1, 1976
    PubMed
    Summary

    Nasoethmoidal encephaloceles are rare brain herniations causing cerebrospinal fluid (CSF) leaks. Surgical repair involves intracranial resection and closure, successfully treating these complex cases.

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    Area of Science:

    • Neurosurgery
    • Neurology
    • Radiology

    Background:

    • Nasoethmoidal encephaloceles are congenital herniations of brain tissue through the nasoethmoidal defect.
    • Cerebrospinal fluid (CSF) leakage (liquorrhea) can occur, increasing infection risk.
    • Previous nasal surgeries may mask or exacerbate the condition.

    Observation:

    • Two cases presented with nasoethmoidal encephalocele and CSF leak.
    • One patient had a history of multiple nasal surgeries for polyposis, leading to undiagnosed CSF leak.
    • The second patient experienced recurrent meningitis secondary to nasal CSF leak and turricephaly.

    Findings:

    • Diagnostic imaging, including X-ray tomography and radio-isotope tests, suggested nasoethmoidal encephalocele.
    • Detailed angiography confirmed the diagnosis.
    • Neurosurgical intervention involved intracranial, intradural resection of the encephalocele and closure of the CSF fistula.

    Implications:

    • Accurate diagnosis of nasoethmoidal encephalocele is crucial, especially in cases with prior nasal surgery or recurrent meningitis.
    • Advanced imaging techniques aid in definitive diagnosis.
    • Intracranial resection and fistula closure provide effective treatment for nasoethmoidal encephaloceles with CSF leak.

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