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Intranasal glial heterotopia in a male infant: A case report
Wei Zhang1, Lixing Tang, Pengpeng Wang
1Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 100045, China.
Rationale:
Nasal glial heterotopia is a rare type of neoplasm consisting of meningothelial and/or neuroglial elements.
Patient Concerns:
A 2-month-old male was evaluated for treatment of a congenital mass in the right nasal cavity near the pharynx.
Diagnoses:
The patient was preoperatively diagnosed with a congenital intranasal neoplasm.
Interventions:
Nasal endoscopic resection of the nasopharyngeal mass was performed under general anesthesia. Histological examination of the resected tissue provided a diagnosis of intranasal glial heterotopia.
Outcomes:
The surgical outcome was good, with no surgical site infection. After 1 year of follow-up, the boy was asymptomatic with no recurrence.
Lessons:
Excision of a nasopharyngeal mass via nasal endoscopy resulted in no recurrence during 1 year of follow-up. Before any surgical treatment for suspected glial heterotopia, the mass should be differentiated clinically and radiologically from an encephalocele to prevent the risk of cerebrospinal fluid leakage and meningitis.
