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Single Stage Management of a Severe Form of Grade 3 Hypertelorism With Sincipital and Basal Encephaloceles-Lessons Learnt!
Cleft Palate Craniofac J
November 2024
Department of Plastic & Reconstructive Surgery, Amrita Hospital, Faridabad, Haryana, India.
The article elucidates the management of a case of severe form of grade III hypertelorism with an intercanthal distance of 61 mm in a 4-year-old child. The management was especially challenging because of the patient's young age, degree of hypertelorism, wide cleft and simultaneous presence of 2 big (sincipital & basal) encephaloceles and a lipoma in the midline. This paper attempts to describe the attempted surgery, postoperative course and the learnings derived from its management to probably create a road-map for surgeons faced with such a challenge in future.
View Article and Find Full Text PDF[Congenital basal encephaloceles involving functionally important structures].
Zh Vopr Neirokhir Im N N Burdenko
October 2024
Pirogov Russian National Research Medical University, Moscow, Russia.
Article Synopsis
- Basal encephaloceles are rare conditions that can affect key brain structures, leading to various health issues such as nasal breathing and vision problems in a significant number of cases.
- A review of 43 articles covering 78 cases showed high rates of concomitant malformations and various complications following surgery, with nearly half of patients experiencing postoperative issues.
- Due to the complexity and variability of each case, thorough evaluations are essential for developing tailored treatment strategies that minimize risks associated with surgical interventions.
Large transethmoidal meningoencephalocele in a neonate involving three discrete defects in lamina cribriform: A case report.
Surg Neurol Int
August 2024
Department of Neurosurgery, Kasr Elainy School of Medicine, Research and Teaching Hospitals, Cairo University, Cairo, Egypt.
Article Synopsis
- Intranasal meningoencephaloceles are rare congenital defects that can show symptoms similar to more common conditions like nasal polyps, making diagnosis challenging in pediatric neurosurgery.
- The case of a 20-day-old boy with a basal meningoencephalocele was reported, involving symptoms such as cerebrospinal fluid leakage and respiratory issues, leading to two staged surgeries for repair.
- Emphasis is placed on the necessity for prompt surgical intervention in infants and thorough intraoperative examination to ensure all defects are addressed, reducing the risk of complications.
A Giant Basal Meningoencephalocele Repair in a Neonate: A Case Report.
A A Pract
July 2024
Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, California.
Primary encephaloceles are congenital mesodermal defects that result in brain tissue protruding through the skull. These defects most commonly occur occipitally but can be present anywhere in the calvarium. Meningoencephaloceles are a subclassification that includes herniation of the meninges.
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