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A spheno-orbital encephalocele with unilateral exophthalmos
Y Sugawara1, K Harii, S Hirabayashi
1Department of Plastic Surgery, University of Tokyo, Japan.
Annals of Plastic Surgery
|April 1, 1996
Insights
Encephaloceles are rare skull defects. This case highlights a successful surgical outcome for a spheno-orbital encephalocele presenting as pulsatile exophthalmos in a child.
Area of Science:
- Neuroscience
- Pediatric Surgery
- Congenital Malformations
Background:
- Encephaloceles are congenital skull defects involving herniation of meninges and brain tissue.
- Spheno-orbital encephaloceles are a rare subtype, often presenting with complex symptoms.
Observation:
- An 11-year-old boy presented with pulsatile exophthalmos, indicative of a potential orbital or cranial abnormality.
- Imaging confirmed a spheno-orbital encephalocele as the cause of the exophthalmos.
Findings:
- The patient underwent a successful two-stage surgical intervention to address the spheno-orbital encephalocele.
- Post-operative evaluation revealed a positive outcome with resolution of symptoms.
Implications:
- This case demonstrates the feasibility and effectiveness of surgical management for spheno-orbital encephaloceles.
- Early diagnosis and surgical correction are crucial for favorable outcomes in pediatric patients with encephalocele.
Abstract:
Encephaloceles are rare congenital defects in the skull, through which the meninges and brain tissue have herilated. We report a case of an 11-year-old boy with a spheno-orbital encephalocele that presented with pulsatile exophthalmos. A two-stage operation resulted in a good outcome.