[Chronic nasal obstruction: ethmoidal encephalocele in an adult patient].
Nasal obstruction is a frequent cause of referral to the ear, nose and throat specialist. When this symptom is resistant to medical management and common causes have been ruled out, the presence of neural structures should be investigated In the nasoethmoidal meningoencephalocele, a congenital defect of the ethmoid lamina cribrosa allows the herniation of the intracranial contents into the nasal fossa. The key to clinical diagnosis is the presence of nasal obstruction with rhinorrhea and recurrent meningitis. We describe the case of a 33-year old female who was long treated for nasal polyposis and underwent a successful surgical treatment of ethmoidal meningoencephalocele.
Servicio de Neurocirugía, Hospital de Especialidades, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, México DF, México. jorge_santos@correo.unam.mx
Jorge Arturo
JA
Santos-Franco
Julio
J
Dávila-Romero
Carlos
C
Rangel-Morales
Miguel
M
Sandoval-Balanzario
Angel
A
Lee
D000328:Adult; D002908:Chronic Disease; D004677:Encephalocele / Q000150:complications / Q000175:diagnosis*; D005005:Ethmoid Sinus; D005260:Female; D006801:Humans; D008588:Meningocele / Q000150:complications / Q000175:diagnosis*; D015508:Nasal Obstruction / Q000209:etiology