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Updated: Aug 19, 2026
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Posttraumatic giant fronto-orbito encephalocele causing cosmetic disfiguring forehead swelling with proptosis:
Guru Dutta Satyarthee1, Amandeep Kumar1
1Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
Insights
A rare case of giant orbital encephalocele in a child, resulting from a delayed traumatic anterior skull base fracture, highlights successful surgical outcomes. This growing skull fracture case, though uncommon, emphasizes the importance of timely diagnosis and intervention for traumatic brain injuries.
Area of Science:
- Pediatric Neurosurgery
- Traumatology
- Skull Base Surgery
Background:
- Anterior skull base fractures can result from head injuries, with growing skull fractures typically seen in children under three years old.
- These fractures commonly affect the frontal and parietal regions, but orbital involvement is exceptionally rare.
- Delayed presentations of traumatic encephaloceles are highly unusual.
Abstract:
Fracture of the anterior skull base can occur following head injury. Growing skull fracture is usually observed in children under age of 3-years. It commonly involves frontal and parietal regions. However, orbit involvement is extremely uncommon. Authors report a case of giant orbital encephalocele with a forehead disfiguring swelling in a 4-years boy, who sustained head injury about 3½ years back. However, such delayed presentation of traumatic encephalocele is extremely uncommon and represents the first case in the Western literature, who had a successful postoperative outcome.
