An unusual case of temporal encephalocele is presented in this report. A large temporal mass was detected prenatally by ultrasound and following delivery by caesarian section. It was determined to be a large temporal encephalocele with extensive invasion into the subtemporal, facial and cervical regions. This case is presented because of the unique pathology of this congenital malformation and the extensive surgery that was required. The management and the clinical and radiological features are discussed.
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http://dx.doi.org/10.1007/BF00271896 | DOI Listing |
Epilepsia
January 2025
Department of Neurology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Objective: Temporal encephaloceles (TEs) are seen in patients with drug-resistant epilepsy (DRE); yet they are also common incidental findings. Variability in institutional pre-surgical epilepsy practices and interpretation of epileptogenic network localization contributes to bias in existing epilepsy cohorts with TE, and therefore the relevance of TE in DRE remains controversial. We sought to estimate effect sizes and sample sizes necessary to demonstrate clinically relevant improvements in seizure outcome with different surgical approaches.
View Article and Find Full Text PDFMagn Reson Imaging
January 2025
Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, USA.
Surg Neurol Int
October 2024
Department of Neurological Surgery, Childrens Hospital of Orange County, Orange, California, United States.
Background: Otitis media (OM) can uncommonly lead to intracranial complications. Epidural abscesses represent a large proportion of cases; however, literature regarding the optimal surgical management of otogenic epidural abscesses is sparse. Favorably located epidural abscesses may be amenable to drainage through a transmastoid approach because the tegmen mastoideum lies immediately inferior to the middle cranial fossa (MCF).
View Article and Find Full Text PDFEpileptic Disord
November 2024
Department of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Otol Neurotol
January 2025
Eaton-Peabody Laboratories, Massachusetts Eye and Ear (MEE), Department of Otolaryngology, Harvard Medical School, Boston, MA.
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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