Meningocele of the Asterion

Martínez‐Lage, Juan F.; González-Tortosa, J.; Poza, Máximo

doi:10.1159/000120035

Cited by 4 publications

(2 citation statements)

References 2 publications

(3 reference statements)

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“…19 Most patients reported in the literature presented with a lesion that was overt at birth or early in childhood. [20][21][22][23][24] Kuba et al 25 describe the case of a young lady who had undergone ventriculoperitoneal (VP) shunt placement, a shunt operation for aqueductal stenosis in her infancy and who suffered a massive subdural pneumocephalus after a minor whiplash injury due to multiple (congenital) defects in the lateral skull.…”

Section: Congenital Defectsmentioning

confidence: 99%

Transmastoid Repair of Temporal Meningoencephaloceles and Cerebrospinal Fluid Otorrhea

Zanetti¹,

Garavello²,

Gaini³

2011

An International Journal of Otorhinolaryngology Clinics

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This paper reviews the diagnosis and treatment of temporal bone meningoencephaloceles, defined as the herniation of meninges or brain tissue into empty spaces within the temporal bone, i.e. tympanic or mastoid cavity, through the tegmen tympani or antri respectively. It also describes the current methods of control of cerebrospinal fluid (CSF) leaks, which commonly present as serous otorrhea or rhinorrhea in addition to a variety of symptoms, such as conductive hearing loss. Imaging is the mainstay of the diagnostic process. Management of the condition is surgical, and this review outlines the surgical options with special emphasis on the transmastoid approach and the materials applicable for repair of the bony dehiscences.

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Section: Congenital Defectsmentioning

confidence: 99%

Transmastoid Repair of Temporal Meningoencephaloceles and Cerebrospinal Fluid Otorrhea

Zanetti¹,

Garavello²,

Gaini³

2011

An International Journal of Otorhinolaryngology Clinics

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“…In fact, there is no mention of bladder complications in either of Dr. Peacock's articles cited in this review. I refer to our manuscript published in ~982 [2], and to another case that appeared approximately at the same time in the Handbook of Neuropediatrics edited by I. Pascual-Castroviejo [4]. Sir: I read with great interest the article, "An unusual case of temporal encephalocele", by Tranmer et al [5].…”

mentioning

confidence: 99%

A case of temporal encephalocele

Martínez‐Lage

1990

Child's Nerv Syst

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The child with a cephalocele: etiology, neuroimaging, and outcome

et al. 1996

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We report a series of 46 children who were treated for one of the diverse forms of cranium bifidum during a period of 22 years. The purpose of the survey was to investigate pathogenetic factors involved in the development of cranial dysraphism and to analyze clinical and pathological factors that influence the patients' outcome. We also investigated the existence of associated intracranial anomalies, in a systematic way, using modern methods of neuroimaging, and related the findings to the patients' final results. The lesions were classified as encephalocele (n = 15), cranial meningocele (n = 3), atretic cephalocele (n = 26), cranium bifidum occultum (n = 1), and exencephaly (n = 1). There was an excess of the atretic form of cephaloceles in our series, a fact that probably reflects geographical variations described for cephaloceles in general. The location of the lesions was occipital in 29 children, parietal in 16, and temporal and frontobasal in one case each. In seven cases there was parental consanguinity. A familial history of malformations of the central nervous system was encountered in eight instances. Associated systemic abnormalities were present in 23 patients, while central nervous system anomalies were found in 36 children. Cephalocele repair was undertaken on 35 occasions. There were no surgical fatalities in the series. The mean follow-up time was of 7 years. Overall mortality for the whole group was of 17/46 or 36%. Twenty of the 29 survivors had no neurological sequelae, but only 18 children exhibited a competitive intelligence level. A good outcome was found to correlate well with: an average head size at birth, a normal initial neurological condition, operability of the lesions, and an absence of disorders of the neuronal migration. Neurological outcome depended also on the occurrence or not of hydrocephalus, while the intelligence level was mainly related to the absence of cerebral tissue within the sac of the malformation.

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Meningocele of the Asterion

Abstract: The case of a 41-day-old girl with a cranial meningocele at the level of the posterolateral fontanel (asterion) is reported, stressing the rarity of its location far from the midline.

Cited by 4 publications

References 2 publications

Transmastoid Repair of Temporal Meningoencephaloceles and Cerebrospinal Fluid Otorrhea

Transmastoid Repair of Temporal Meningoencephaloceles and Cerebrospinal Fluid Otorrhea

A case of temporal encephalocele

The child with a cephalocele: etiology, neuroimaging, and outcome

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