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Cribriform plate dehiscence with encephalomeningocele revealed by recurrent meningitis: A case report
Najla Soyah1, Hajer Ben Belgacem1, Donia Brahem1
1University of Medicine Sousse, Department of pediatrics Farhat Hached hospital, Sousse, Tunisia.
Introduction:
Meningitis is a potentially life threatening illness. It requires prompt diagnosis and treatment. Recurrent meningitis needs detailed investigations to identify the underlying cause.
Observation:
We report a case of recurrent pneumococcal meningitis in a 9-year-old boy with an underlying congenital skull base abnormality. Brain computed tomography (CT) scan showed no obvious skull base defects. A magnetic resonance imaging (MRI) of the brain revealed a dehiscence of the cribriform plate with encephalomeningocele. The patient underwent an endoscopic repair of the bony defect and had not developed any new infections ever since.
Conclusion:
This case highlights the need to investigate recurrent bacterial meningitis with CT scan and MRI of the brain and skull base. Repair of these congenital skull base defects are mandatory to prevent the recurrence of meningitis.
Insights
Recurrent pneumococcal meningitis in a child was caused by a congenital skull base defect. Endoscopic repair of the cribriform plate dehiscence successfully prevented further infections, highlighting the importance of advanced imaging for diagnosis.
Area of Science:
- Neurology
- Pediatrics
- Neurosurgery
Background:
- Meningitis is a serious infection requiring prompt diagnosis and treatment.
- Recurrent meningitis necessitates thorough investigation to determine the root cause.
- Congenital skull base abnormalities can predispose individuals to recurrent meningitis.
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