Intranasal meningoencephalocele presenting as a nasal polyp — a case report

Mukerji, Shraddha S.; Parmar, Hemant; Gujar, Sachin K.; Passamani, Peter P.

doi:10.1016/j.clinimag.2011.01.005

Cited by 11 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Extranasale Zelen erscheinen als Auftreibung der Nasenwurzel. Intranasale Zelen können mehr oder weniger frei ins Nasenlumen hängen und als Polyp erscheinen [ 20 ] . Sie werden deshalb u. U. unter der Fehldiagnose eines Nasenpolypen operiert, was zu schwerwiegenden Komplikationen (Liquorrhoe, Meningitis) führen kann.…”

Section: Meningoenzephalozelenunclassified

Erkrankungen der Nase und der Nasennebenhöhlen im Kindesalter

Stenner

Rudack

2014

Laryngo-Rhino-Otol

View full text Add to dashboard Cite

Diseases of the pediatric nose and paranasal sinuses as well as neighboring anatomical structures encompass a variety of pathologies, especially of inflammatory nature. Congenital disease, such as malformations and structural deviations of the nasal septum, as well as systemic metabolic pathologies affecting the nose and sinuses, rarely require medical therapy from an Otolaryngologist. The immunological function of the mucosa and genetic factors play a role in the development of disease in the pediatric upper airway tract, especially due to the constantly changing anatomy in this growth phase. Disease description of the nose and nasal sinuses due to mid-facial growth must also take developmental age differences (infant, toddler, preschool, and school age) into account. Epidemiological examinations and evidence based studies are often lacking in the pediatric population. The wide range of inflammatory diseases of the nose and paranasal sinuses, such as the acute and chronic rhinosinusitis, the allergic rhinitis, and adenoid disease, play a role in the susceptibility of a child to infection. The susceptibility to infection depends on the pediatric age structure (infant, young child) and has yet to be well defined. The acute rhinosinusitis in children develops after a viral infection of the upper airways, also referred to as the "common cold" in the literature. It usually spontaneously heals within ten days without any medical therapy. Antibiotic therapy is prudent in complicated episodes of ARS. The antibiotic therapy is reserved for children with complications or associated disease, such as bronchial asthma and/or chronic bronchitis. A chronic rhinosinusitis is defined as the inflammatory change in the nasal mucosa and nasal sinus mucosa, in which the corresponding symptoms persist for over 12 weeks. The indication for CT-imaging of the nasal sinuses is reserved for cases of chronic rhinosinusitis that have been successfully treated with medication. A staged therapeutic concept is followed in CRS based on conservative and surgical methods. Nasal sinus surgery is considered nowadays as effective and safe in children. Based on the assumption that adenoids are a reservoir for bacteria, from which recurrent infections of the nose and nasal sinus originate, the adenoidectomy is still defined as a cleansing procedure in rhinosinusitis. 69.3% of the children had benefit from adenoidectomy. Comorbidities, such as pediatric bronchial asthma, presently play an even more important role in the therapy of rhinosinusitis; therefore, it is often wise to have the support of pediatricians. In western European countries 40% of children presently suffer from allergic rhinitis, in which pronounced nasal obstruction can cause disturbed growth in facial bones. An early therapy with SIT may prevent the development of bronchial asthma and secondary sensitization to other allergens. Therefore, SIT is recommended in treatment of allergic rhinitis whenever, if possible. The assessment of diagnostic tools is for the examiner not often possib...

show abstract

Section: Meningoenzephalozelenunclassified

Erkrankungen der Nase und der Nasennebenhöhlen im Kindesalter

Stenner

Rudack

2014

Laryngo-Rhino-Otol

View full text Add to dashboard Cite

show abstract

“…Extranasal celes appear as a distension in the root of the nose. Intranasal celes can be seen hanging in the nasal cavity and appear as nasal polyps [ 20 ]. This can lead to a misdiagnosis and a nasal polyp removal operation, which can lead to serious complications (e.g.…”

Section: Congenital Diseases Of the Nose And Paranasal Sinusesmentioning

confidence: 99%

Diseases of the nose and paranasal sinuses in child

Stenner

Rudack

2014

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 13:Doc10; ISSN 1865-1011

View full text Add to dashboard Cite

“…2 Biopsy of such lesions without prior imaging is contraindicated because it carries a high risk of cerebrospinal fluid (CSF) leak and meningitis. 3 If such patients are misdiagnosed or incorrectly handled, it can lead to serious ascending infections and/or a constant CSF leak. 2 These complex lesions require a multidisciplinary approach for correct diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Transnasal Endoscopic Repair of Posttraumatic Meningoencephalocele: A Rare Presentation

Kaushik,

Nayyar,

Charaya

et al. 2024

Indian Journal of Neurosurgery

View full text Add to dashboard Cite

Meningoencephalocele is a rare condition that results due to defect in skull base causing brain tissue to herniate along with meninges. We present a case of posttraumatic meningoencephalocele in an 11-year-old child, who presented with nasal mass and cerebrospinal fluid leak. A cribriform plate defect was detected on magnetic resonance imaging along with herniation of brain tissue. The big defect was successfully repaired endoscopically in multiple layers and without placement of a lumbar drain, thereby reducing the complications of an open transcranial surgery.

show abstract

Intranasal meningoencephalocele presenting as a nasal polyp — a case report

Cited by 11 publications

References 8 publications

Erkrankungen der Nase und der Nasennebenhöhlen im Kindesalter

Erkrankungen der Nase und der Nasennebenhöhlen im Kindesalter

Diseases of the nose and paranasal sinuses in child

Transnasal Endoscopic Repair of Posttraumatic Meningoencephalocele: A Rare Presentation

Contact Info

Product

Resources

About