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The clinical manifestation of intracranial mycotic aneurysms (ICMAs), which are rare but carry high risks of rupture and early mortality, remains poorly understood. We present a case of an ICMA that rapidly developed and ruptured after the diagnosis of meningitis caused by (), which rarely causes bacterial meningitis. A 54-year-old man presented with a headache that worsened on coughing, without altered consciousness or vomiting.

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Congenital meningoencephaloceles of the anterior skull base (ASB) are rare lesions that become evident during childhood and, if not properly diagnosed and treated, can be associated with severe complications. In the past, encephaloceles were treated exclusively with open surgical approaches, which, however, are associated with high complication rates. Recent years have seen the large-scale introduction of transnasal endoscopic approaches to the skull base, and several Authors suggest that endoscopic resection and repair in cases of meningoencephalocele may be the treatment of first choice, being associated with lower complication rates and reduced operative time compared with open procedures.

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Nasal Dermoid - A Series of Ten Cases and Review of Literature.

Indian J Otolaryngol Head Neck Surg

December 2024

Department of ENT, Chacha Nehru Bal Chikitsalya, Geeta Colony, New Delhi, India.

Congenital nasal swellings are commonly encountered in pediatric practice. Differential diagnosis includes dermoid cyst, meningoencephalocele, glioma, benign tumors. Here we discuss 10 cases of nasal dermoid which were studied between January 2022 - December 2022 to obtain clinical data for diagnosis and treatment in pediatric population.

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Objective: To review the management of meningitis, large lateral skull base defect, and meningoencephalocele following pediatric cochlear implant (CI) surgery.

Study Design: Case report.

Methods: Patient demographics, medical and surgical history, computed tomography (CT).

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Article Synopsis
  • The study evaluated an algorithm designed for diagnosing and managing idiopathic intracranial hypertension (IIH) in patients who had surgery for skull base meningoencephaloceles and experienced spontaneous cerebrospinal fluid (sCSF) leaks.
  • The researchers reviewed records from 80 patients treated between 2014 and 2021, measuring their opening pressure (OP) and categorizing them into high, intermediate, or low-risk groups based on the OP.
  • The findings revealed a VPS rate of 15%, with low recurrence rates for acute (3.8%) and remote CSF leaks (3.8%), highlighting the effectiveness of the proposed management strategy in understanding CSF dynamics in these patients.*
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