title: Endoscopic endonasal management of congenital intranasal meningocele in a 2-month-old infant.
abstract: BACKGROUND
  Nasal meningocele, which is usually congenital, is a rare anomaly resulting from meningeal herniation into the nasal cavities through a bone defect in the skull base.
  
  
  METHODS
  An 8-day-old boy was referred with respiratory disturbance and nasal obstruction. Examination showed a cyst-like grayish swelling filling the right nasal cavity. CT scan showed opacity, of fluid-like density, filling the right nasal fossa, in contact with a small bony defect in the right cribriform plate. MRI ruled out herniated brain parenchyma and enabled diagnosis of meningocele. The patient was operated on at the age of 2 months through a transnasal endoscopic approach. Immediate postoperative course was favorable. MRI control at 8 months was normal.
  
  
  CONCLUSIONS
  Modern imaging (CT scan and MRI) is of paramount importance in the preoperative evaluation of nasal meningocele. Endoscopic endonasal (EE) surgery is currently the treatment of choice.
  
  
  CONCLUSIONS
  Steady progress in instrumentation, technique and skills will increase the feasibility of skull-base surgery using an endonasal approach in the pediatric population.
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Fattouma-Bourguiba, rue 1(er)-Juin-1995, 5000 Monastir, Tunisia. Electronic address: eliegas@voila.fr.
authors.forename: E
authors.initials: E
authors.lastname: Gassab
authors.forename: N
authors.initials: N
authors.lastname: Krifa
authors.forename: S
authors.initials: S
authors.lastname: Kedous
authors.forename: A
authors.initials: A
authors.lastname: Zrig
authors.forename: N
authors.initials: N
authors.lastname: Hattab
authors.forename: K
authors.initials: K
authors.lastname: Harrathi
authors.forename: J
authors.initials: J
authors.lastname: Koubaa
authors.forename: A
authors.initials: A
authors.lastname: Gassab
mesh_terms: D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D008588:Meningocele / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D009296:Nasal Cavity / Q000601:surgery*; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: Congenital; Endoscopic endonasal surgery; Imaging; Meningocele; Skull base