Frontoethmoidal encephalocele with ocular leakage of cerebrospinal fluid

Abstract

The authors present the case of a 2-year-old boy who was born with a small bulging mass in the middle frontonasal area and hypertelorism. In the neonatal period he suffered from a continuous lacrimal secretion mistaken for recurrent conjunctivitis. Cranial computerized tomography scanning and magnetic resonance imaging revealed a frontoethmoidal encephalocele associated with an ocular leakage of cerebrospinal fluid. One-stage repair of the encephalocele, along with correction of hypertelorism and bone grafting of the forehead, was performed with good result. During a 2-year follow-up period no neurological deficits appeared.

Evaluation of long-term results following surgical correction of frontoethmoidal encephalomeningocele

“…Previous studies demonstrate that in patients with TB, decreased appetite leads to inadequate dietary intake, thereby reducing the intake of folic acid [8] . Folic acid has been shown to play an important role in the formation of the chondrocranium during the first week of pregnancy [9] . Micronutrients such as vitamins A, C, D, E, B6, and folic acid, the minerals zinc, copper, and selenium, and other dietary factors play an important role in metabolic processes and cellular and immune function [10] , [11] .…”

CSF Oculorrhea Presenting as “Tearing” following the Repair of Fronto-Ethmoidal Encephalocele

“…Schütt et al [20] reported a case of fronto-ethmoidal encephalocele who had eyelid swelling and ocular leakage of CSF at presentation. It was hypothesized that there was a fistulous connection between the encephalocele and the lacrimal duct.…”