title: Intrasphenoidal encephalocele: an incidental finding in emergency department.
abstract: BACKGROUND
  Basal encephaloceles are rare clinical entities. Intrasphenoidal encephalocele (ISE) is a rare form of basal encephalocele. The clinical presentation is often subtle and may remain undetected. Only a limited number of cases of ISE have been reported, mostly in middle-aged patients who presented with symptoms. Clinical diagnosis and management remain a challenge. Our case reports ISE as an incidental finding in a very elderly male patient.
  
  
  RESULTS
  We present a case of ISE discovered as an incidental finding in a 99-year-old male who presented to the emergency department (ED) after a fall from bed. The encephalocele was discovered in the evaluation of the computed tomography (CT) scan of the head.
  
  
  CONCLUSIONS
  This is an incidental manifestation of a rare disease. It demonstrates that these encephaloceles may not manifest clinically or symptomatically as other reports have suggested.
authors: Lincoln Medical & Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA. waseemm2001@hotmail.com.
authors: Muhammad
authors: M
authors: Waseem
authors: Ruchi
authors: R
authors: Upadhyay
authors: Husayn
authors: H
authors: Al-Husayni
authors: Samuel
authors: S
authors: Agyare