Recurrent meningitis and transethmoidal intranasal meningoencephalocele.
A three-year-old girl with hypertelorism suffered seven episodes of meningitis. X-ray, CT scan and gamma-cisternography revealed a meningoencephalocele at the base of the skull. At operation, a 'hole' of about 25mm was clearly visible in the midline, just behind the lamina cribrosa; through this a piece of brain tissue protruded towards the nasal cavities. The herniated brain-tissue was removed and the gap was closed. Meningitis did not recur.
Izquierdo
J M
JM
University of Oviedo, Spain.
Gil-Carcedo
L M
LM
D002675:Child, Preschool; D004677:Encephalocele / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008581:Meningitis / Q000150:complications* / Q000000981:diagnostic imaging; D008588:Meningocele / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012008:Recurrence