title: Pneumococcal meningitis secondary to intra-sphenoidal encephalocoele.
abstract: Basal encephalocoeles are rare congenital abnormalities of the skull base. The authors describe a rare case of spontaneous CSF leak and meningitis secondary to an intra-sphenoidal encephalocoele. Initial endoscopic transsphenoidal repair was unsuccessful, necessitating a combined subtemporal and transsphenoidal approach to close the defect.
authors.affiliation: Department of Neurology, Greater Manchester Neurosciences Centre, Manchester, UK.
authors.forename: Gillian M
authors.initials: GM
authors.lastname: Sare
authors.forename: Anoop
authors.initials: A
authors.lastname: Varma
authors.forename: Kevin
authors.initials: K
authors.lastname: Green
authors.forename: Amit
authors.initials: A
authors.lastname: Herwadkar
authors.forename: Kanna K
authors.initials: KK
authors.lastname: Gnanalingham
mesh_terms: D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D004677:Encephalocele / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D004724:Endoscopy; D005260:Female; D006547:Hernia / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008586:Meningitis, Pneumococcal / Q000209:etiology*; D008875:Middle Aged; D009296:Nasal Cavity / Q000033:anatomy & histology / Q000601:surgery; D019635:Neurosurgical Procedures; D012086:Reoperation; D013100:Sphenoid Bone / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013702:Temporal Lobe / Q000473:pathology; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure