title: Nasofrontal dermoid with sinus tract upto the tip of the nose: A case report with review of the literature.
abstract: Nasofrontal dermoid with sinus tract extending to the nasal tip is rare in adults. It is unique in its embryological origin, presentation, and management. Pathogenesis involves the incomplete obliteration of the developing neuroectoderm. A sinus opening with intermittent oily discharge is characteristic. Associated intracranial extension may lead to meningitis and brain abscess. We present a case of a 21-year-old adult having a nasofrontal sinus tract with intracranial extension who presented with recurrent episodes of meningitis and discuss the physical findings with relevance to embryology, elaborating on the importance and means of addressing the intracranial as well as extracranial components for complete treatment.
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Gandhi
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: I Vijay
authors.initials: IV
authors.lastname: Sundar
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Achal
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Neurosurgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: R S
authors.initials: RS
authors.lastname: Mittal
authors.affiliation: Department of Pathology, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Sapna
authors.initials: S
authors.lastname: Gandhi
keywords: Adult; nasofrontal dermoid; recurrent meningitis