Early Pediatric Multiple Facial Fractures Treatment With Resorbable Fixation

Abstract

meningocele is preferred. It is characterized by an accumulation of CSF within the abnormally enlarged nerve sheath in the perioptic area. There is no clear information about its etiopathogenesis. It is most commonly associated with neurofibromatosis type 1. It usually manifests itself with blurred vision and headache but can also be detected incidentally. [8][9][10] The most important and reliable method used in diagnosis is MR imaging. Around the optic nerve, it is observed as an area filled with CSF within the aneurysmatic dilatation surrounded by the nerve sheath. The absence of any pathological enhancement and the absence of massive thickness increase in the optic nerve are especially important in differential diagnosis with pathologies such as meningioma and glioma. No additional pathology is seen in idiopathic inflammatory neuroretinitis, but the patient's clinical and examination findings provide a differential diagnosis. Treatment is medical and patients are followed up. However, surgical treatment for decompression of the optic nerve can be applied in patients with progress. 2,5,10 In conclusion, imaging findings have an important place in diagnosis of dural ectasia of the optic nerve sheath without typical symptoms and examination findings. For the definitive and differential diagnosis of the patient, the clinic should be evaluated together with MRI and the patient's treatment should be guided accordingly.