Prise en charge des méningo-encéphalocèles antérieures. À propos de 34 cas

Rifi, L.; Moudan, A. El; Quenum, Kisito; Derraz, S.; Ouahabi, Abdeldjalil; Khamlichi, A. El

doi:10.1016/j.neuchi.2007.09.002

Cited by 1 publication

(7 citation statements)

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“…Where necessary, we performed an incision on the facial swelling to reduce redundant skin for purely esthetic purposes. This attitude on our part is all the more justified by death due to bleeding reported in the literature [17]. We suggest, if necessary, a craniofacial approach by a double incision (one coronal and the other on the swelling).…”

Section: Discussionmentioning

confidence: 89%

“…Several surgical approaches have been proposed such as transcranial, facial and endonasal endoscopic surgery. These approaches may be used alone or in combination [3,6,9,11,14,15,16,17]. The transcranial approach has the advantage of reviewing the contents of the hernial sac, easing the removal of the malformed cerebral tissue and achieving satisfactory dural closure.…”

Section: Discussionmentioning

confidence: 99%

“…This is why it is often combined with the facial approach, which has an advantage on bone and cutaneous repairs but is limited in terms of dural closure [6,14,17]. The endoscopic endonasal route alone [11,15,16] or combined [2,17] with the transcranial approach (in large bone defects) was also used for the treatment of sincipital cephaloceles. With the endoscopic approach, a small defect can be closed using a small harvest of the nasal septum [11].…”

Section: Discussionmentioning

confidence: 99%

“…At this age, the malformation had grown and caused severe bone deformities. That is why we recommend, as some authors [13,17], neurosurgical management as early as possible, which sometimes prevents the facial approach. Thus, 2 patients in our series had surgery on the first day of their lives and almost all before the age of 4 months.…”

Section: Discussionmentioning

confidence: 99%

“…The evolution of this condition after treatment is generally good with regard to the vital prognosis [2,13,17]. Rare cases of death occur due to meningitis [2,13].…”

Section: Discussionmentioning

confidence: 99%

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Frontoethmoidal Cephalocele: Our Experience of Eleven Cases Managed Surgically

Zabsonre¹,

Kabré²,

Haro³

2015

Pediatr Neurosurg

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Introduction: Frontoethmoidal or sincipital cephaloceles are congenital malformations characterized by externalization of the meninges and/or brain tissue through a congenital bone defect between the frontal and ethmoid bones. These sincipital cephaloceles are very infrequent. While in developed countries the measures taken have brought about virtually zero frequency of this pathology, in our work environment these measures are virtually nonexistent, so that frontoethmoidal cephaloceles remain one of our concerns. Aim: To describe the particularity of the management of frontoethmoidal cephaloceles in our country. Methods: This was a retrospective study carried out between January 1, 2007 and June 30, 2013. It concerned all cases of frontoethmoidal cephaloceles managed in the Neurosurgery Department of the University Hospital of Ouagadougou. Results: A total of 11 patients (6 females and 5 males) were attended to in 6.5 years. The age of the patients ranged from 1 day to 12 years, and 8 patients (72.72%) were less than 4 months old; 1 case was diagnosed at antenatal ultrasound. Clinically, all cases consisted of congenital cephalic swelling of gradual increase. A CT scan was performed in all cases and an ultrasound of the associated mass was carried out in 2 cases. Transcranial approach was done for all patients with 3 patients having had an incision of the mass to reduce redundant skin. The immediate postoperative course was favorable in 10 cases; 1 death was observed by cerebrospinal meningitis. We noted 1 case of recurrence. Conclusion: The surgical treatment of frontoethmoidal cephaloceles is complex, sometimes requiring a multidisciplinary team. However, early closing of the malformation before the appearance of important bone deformities can prevent maxillofacial surgery. The results of the surgery are satisfactory as regards the vital prognosis. However, the fear of a more or less long-term occurrence of psychomotor retardation and the complications of early surgery make the recommendation and emphasis of prevention our main concern.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The evolution of this condition after treatment is generally good with regard to the vital prognosis [2,13,17]. Rare cases of death occur due to meningitis [2,13].…”

Section: Discussionmentioning

confidence: 99%

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