Resection of anterior orbital meningoencephalocele in a newborn infant.
An 11-day-old infant was referred for a large, fleshy swelling at the right medial canthus, which was noticed at birth. CT of the skull showed protrusion of brain tissue within the mass, from which a diagnosis of meningoencephalocele was made. The mass was subsequently resected by a team of physicians represented by ophthalmology, otolaryngology, and neurosurgery. Follow-up showed good cosmetic and functional results. Meningoencephaloceles usually need prompt attention to ensure a good visual and cosmetic result. Imaging before surgery and pathologic analysis are both necessary steps to successful management. Prognosis is excellent unless associated with other comorbid conditions such as Dandy-Walker syndrome, holoprosencephaly, or agenesis of the corpus callosum.
Bersani
Thomas A
TA
S.U.N.Y Upstate Medical University, Syracuse, New York, USA.
Cecchi
Lawrence M
LM
D004677:Encephalocele / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008588:Meningocele / Q000000981:diagnostic imaging / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed