title: [Transspheinoidal transpalatal meningoencephalocele].
abstract: Transspheinoidal meningoencephalocele is a rare presentation of dysraphism of the neural tube. It is characterized by the herniation of the neural tissue through a bony defect in the sphenoid bone. The clinical presentation is variable. It may be assymptomatic or it may include an upper airway obstruction, rhinorrhea, meningitis, hypothalamic dysfunction and optic anomalies. The surgical treatment is controversial. We describe the case of a 7-year-old boy who presented a pulsate structure filling the palate, palate digenesis and hypertelorism. The diagnosis of transsphenoidal transpalatal meningoencephalocele was confirmed by a computerized tomography and a magnetic resonance imaging. The child was operated on by the transpalatal/transspheinoidal approach with a good result.
authors.affiliation: Hospital Santa Casa de Montes Claros, and Acadêmico do 8 período do curso de Medicina da Faculdade Estadual de Montes Claros (UNIMONTES), Brazil. trabalhoglm@yahoo.com.br
authors.forename: Marcílio
authors.initials: M
authors.lastname: Monteiro
authors.forename: Antônio Carlos
authors.initials: AC
authors.lastname: de Albuquerque
authors.forename: Márcio Costa
authors.initials: MC
authors.lastname: Nobre
authors.forename: Adriano Teixeira
authors.initials: AT
authors.lastname: Veloso
authors.forename: Vandete Aguiar
authors.initials: VA
authors.lastname: Mendes
authors.forename: Lucídio Duarte
authors.initials: LD
authors.lastname: de Souza Filho
authors.forename: Marcelo José
authors.initials: MJ
authors.lastname: da Silva
authors.forename: Geraldo Vítor Cardoso
authors.initials: GV
authors.lastname: Bicalho
mesh_terms: D002648:Child; D004677:Encephalocele / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008588:Meningocele / Q000175:diagnosis / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D010159:Palate / Q000601:surgery*; D013101:Sphenoid Sinus / Q000002:abnormalities / Q000601:surgery; D016896:Treatment Outcome