Endoscopic Endonasal Excision of Nasal Meningoencephalocele with Repair of Skull Base Defect in 2-years 4-month-Old Child: A Case Report

Authors

  • A F M Ekramuddaula Senior Consultant & Coordinator, Department of Ear, Nose, Throat & Head – Neck Surgery Evercare Hospital Dhaka.
  • Shipak Zareen Khan Senior Specialist, Department of Ear, Nose, Throat & Head – Neck Surgery, Evercare Hospital Dhaka.
  • Md Aliuzzaman Joarder Senior Consultant , Department of Neurosurgery, Evercare Hospital Dhaka.
  • M Istiaque Hossain Senior Consultant, Paediatrics & Neonatology, Evercare Hospital Dhaka.
  • Dilruba Akhter Zahan Junior Consultant, Obs/Gyne Department of Feto-Maternal Medicine, Dhaka Medical College.

DOI:

https://doi.org/10.3329/pulse.v16i2.81680

Keywords:

Intranasal meningoencephalocele, endoscopic surgery, skull base defect, minimally invasive surgery

Abstract

Nasal menigoenchephalocoeles are herniation of cranial content through a bony defect in the anterior skull base into the nasal cavity. Clinical presentation includes unilateral nasal mass, nasal obstruction, rhinorrhea, and recurrent meningitis. These lesions are treated surgically as soon as possible to prevent meningitis and to address symptoms such as nasal obstruction, and cerebrospinal fluid (CSF) rhinorrhea. With the advent of endoscopic skull base approaches and instruments, surgical treatment of nasal menigoenchephalocoeles has transitioned from large bi-coronal external approaches to more minimally invasive endonasal endoscopic approaches, even though it is safe in pediatric patients. Here we report a 2-years 4-month-old child with nasal meningoencephalocele with CSF leak who was managed nasoendoscopically and had good outcome.

Pulse Volume 16, Issue 2 2024: 51-55

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Published

2025-05-14

How to Cite

Ekramuddaula, A. F. M., Khan, S. Z., Joarder, M. A., Hossain, M. I., & Zahan, D. A. (2025). Endoscopic Endonasal Excision of Nasal Meningoencephalocele with Repair of Skull Base Defect in 2-years 4-month-Old Child: A Case Report. Pulse, 16(2), 51–55. https://doi.org/10.3329/pulse.v16i2.81680

Issue

Vol. 16 No. 2 (2024)

Section

Case Reports

License

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