Occult Encephalocele Causing Recurrent Meningitis

Jain, Arihant; Tullu, Milind S.; Agrawal, Mukesh; Jadhav, Devika U.

doi:10.1016/j.pediatrneurol.2015.03.029

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…5 Typical presentations of patients with encephaloceles include palsies, seizures, CSF leakage, and meningitis. 5,[8][9][10][11] Neurological deficits are relatively uncommon, and those that have been cited include hearing loss, visual deficits, facial nerve palsy, and hemiparesis. This case was unique in that our patient was older and experienced only neurological deficits with the expressive aphasia and right upper extremity deficits.…”

Section: Discussionmentioning

confidence: 99%

A red herring CVA with unexpected outcome: illustrative case

Swanson

Abraham

Ruebhausen

et al. 2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND Disruptions to the integrity of the inner table and trabeculae of the calvaria are rare phenomena. Increasingly rare is the phenomenon of herniation of brain parenchyma through the defects in the skull causing neurological deficit. Surgical intervention is commonly performed but is fraught with risk of brain tissue loss. OBSERVATIONS The authors present a case of a 78-year-old White male presenting with strokelike symptoms who was found to have an intradiploic encephalocele that was successfully treated with surgical intervention and neuroplastic reconstruction of the anatomical deficit. The patient had a marked recovery and had near-complete resolution of symptoms. LESSONS This notably rare phenomenon resolved with neurosurgical intervention, sparing the parenchyma, and provided the patient with perceivably normal contour of the head using a collaborative approach with neuroplastic intervention.

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