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Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

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Nasal encephalocoele -an atypical case.

N Chaudhary¹, Nimesh Gupta, S Gudwani

¹Department of Otolaryngology, Safdarjang Hospital, 241, Laxmi Bai Nagar, 110 023 New Delhi.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|November 3, 2012

Summary

Atypical nasal encephaloceles, rare congenital conditions, often go undiagnosed at birth. This case highlights a rare presentation of an intranasal mass with cerebrospinal fluid rhinorrhoea in an 8-year-old boy.

Keywords:

Nasal encephalocoele atypical nasal encephalocoele cerebrospinal fluid rhinorrhoea

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Area of Science:

Neurology
Pediatric Surgery
Otorhinolaryngology

Background:

Nasal encephaloceles are congenital herniations of brain tissue through the nasal bone.
Typical presentations include external nasal swelling and orbital hypertelorism.
Atypical forms lack external signs, leading to delayed diagnosis.

Purpose of the Study:

To report a rare case of atypical nasal encephalocele.
To emphasize diagnostic challenges associated with intranasal presentations.
To highlight cerebrospinal fluid (CSF) rhinorrhoea as a key symptom.

Main Methods:

Case report of an 8-year-old boy.
Clinical presentation: unilateral intranasal mass and CSF rhinorrhoea.
Diagnostic workup and imaging (details not provided in abstract).

Main Results:

The patient presented with an isolated intranasal mass.
Cerebrospinal fluid rhinorrhoea was a significant finding.
Diagnosis of atypical nasal encephalocele was confirmed.

Conclusions:

Atypical nasal encephaloceles can present solely as intranasal masses.
Cerebrospinal fluid rhinorrhoea is a critical indicator for suspected atypical nasal encephalocele.
Early recognition and diagnosis are crucial for appropriate management.