Introduction: Primary encephalocele is a rare deformity that is challenging for the neurosurgeon. It requires a multidisciplinary team for adequate reconstructive surgery.

Case Presentation: We report the case of a 6-month-old African boy who presented with a frontoethmoidal encephalocele; we present a technical description of the surgical procedure, using no implant.

Discussion/conclusion: The postoperative evolution of the boy was uneventful, with a good clinical result at the follow-up.

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http://dx.doi.org/10.1159/000513101DOI Listing

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Article Synopsis
  • Encephalocele is a concerning condition where brain tissue protrudes through a skull defect, presenting significant challenges for medical teams, especially in low-resource settings.
  • A 4-month-old infant with a frontoethmoidal encephalocele and hydrocephalus was successfully treated by a multidisciplinary team, utilizing an autologous bone graft for skull reconstruction.
  • Despite the rarity and complexities of this condition, effective management is possible even in resource-constrained environments, emphasizing collaboration and innovative approaches to surgery.
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Article Synopsis
  • - Frontoethmoidal encephalocele is a condition where part of the brain and its protective membranes push through a defect in the skull, usually forming a noticeable swelling on the nose or face, and may be linked to other facial abnormalities.
  • - There are significant surgical and medical concerns, particularly in neonates, including challenges like airway obstruction, potential fluid leaks leading to imbalances, infection risks, and increased intracranial pressure.
  • - The condition is more prevalent in low-income areas and is often undiagnosed before birth; the case discussed highlights an extreme instance where the swelling interfered with normal ventilation due to its extensive size.
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Article Synopsis
  • The critique assesses a study on managing cerebrospinal fluid issues in frontoethmoidal encephaloceles, focusing on the SAFE algorithm's role in standardizing treatment and improving patient outcomes.
  • It points out strengths like enhanced understanding through collaborative data analysis but also highlights weaknesses, including biases from retrospective studies and the necessity for personalized care.
  • The abstract calls for ongoing research, emphasizing the importance of multicenter studies and collaboration to improve treatment strategies and advance knowledge in this area.
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A cerebrospinal-fluid-related (CSF-related) problem occurred in 25-30% of frontoethmoidal encephalocele (FEE) cases. Since there was no algorithm or guideline, the judgment to treat the CSF-related problem often relies upon the surgeon's experience. In our institution, the early shunt was preferable to treat the problem, but it added risks to the children.

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Nasofrontal encephalocele: A case report with literature and management review.

Radiol Case Rep

May 2024

Department of Radiology, Faculty of Medicine, Padjajaran University, Dr. Hasan Sadikin General Hospital, Jl. Pasteur no. 38 Sukajadi, Bandung, West Java, 40161, Indonesia.

Encephalocele is a rare congenital anomaly characterized by the protrusion of intracranial contents through a defect in the skull base or calvarial. In Southeast Asia, frontoethmoidal encephaloceles are more frequently observed compared to their occurrence in Western countries. Typically, frontoethmoidal encephaloceles present as a visible mass adjacent to the nasal region.

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