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Congenital basal meningoceles with different outcomes: a case series

Satomi Okano1, Ryosuke Tanaka2, Akie Okayama2

  • 1Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido, 078-8510, Japan. s-okano@ceres.dti.ne.jp.

Journal of Medical Case Reports
|December 28, 2017
PubMed

Insights

Early diagnosis of basal meningoceles is crucial. Recognizing midfacial anomalies and nasal obstruction can prevent life-threatening complications through timely surgical repair.

Area of Science:

  • Pediatric Neurosurgery
  • Congenital Malformations

Background:

  • Basal meningoceles are rare congenital defects.
  • Often asymptomatic until severe complications arise.
  • Early diagnostic clues are vital for timely intervention.

Observation:

  • Three cases of congenital basal meningocele are presented.
  • One patient experienced fatal sepsis from meningocele rupture.
  • Other patients had midfacial anomalies or nasal obstruction.

Findings:

  • Midfacial anomalies (cleft palate, hypertelorism) and nasal obstruction (snoring) are key indicators.
  • These signs can facilitate early diagnosis of basal meningocele.

Implications:

  • Early diagnosis allows for safe preoperative management.
  • Surgical repair before complications significantly improves outcomes.
  • Recognizing subtle clinical features is essential for pediatric neurosurgeons.
Abstract

Keywords:
Basal meningoceleMeningitisMidfacial anomaliesSnoreSuction

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