Transethmoidal encephalocele endoscopically treated in a newborn: a case report

Parisi, Cristiano; Saetti, Roberto; Petitto, Liliana Laura; Novello, Mariangela; Volpin, Lorenzo; Rustemi, Oriela

doi:10.1007/s00381-020-04669-5

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…Ввиду редкой встречаемости данной патологии к настоящему времени нет единого мнения относительно оптимального возраста пациента для устранения ЭЦ и пластики дефекта [20]. Ряд авторов считают, что лечение следует проводить как можно раньше в связи с нарушением роста лицевого скелета, отставанием в развитии на фоне гипоксии, вероятностью повреждения грыжи и возникновения осложнений [8,21]. Так, S. Mohindra и соавт.…”

Section: рис 5 этапы операции у пациентки с эндоскопические изображен...unclassified

“…Лечение пациентов с базальными ЭЦ зачастую требует тесного взаимодействия нейрохирургов, лорхирургов, специалистов по челюстно-лицевой и пластической хирургии [6]. Традиционно все черепномозговые грыжи удаляли транскраниально [7,8]. Однако многочисленные исследования последних двух десятилетий подтверждают высокую эффективность и безопасность эндоскопической эндоназальной методики при лечении пациентов с патологией основания черепа [9][10][11].…”

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Reasons for failure of surgical treatment of patients with congenital basal encephaloceles

Chernikova,

Satanin,

Shelesko

et al. 2024

Nejrohirurgiâ (Mosk.)

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Encephalocele or craniocerebral hernia is a disease in which there is a prolapse of the meninges and structures of the brain through a skull defect. Clinically, they are manifested by a violation of nasal breathing, deformation of the naso‑ethmoid region, and nasal liquorrhea. Various inflammatory complications (meningitis, meningoencephalitis, ventriculitis, brain abscess) can occur against the background of persistent hernia, while mortality is 8–10 %.Basal encephalocele is a rare pathology that requires an integrated approach in a specialized hospital using high‑tech equipment. Therapeutic tactics and risks are determined individually based on the patient’s age, current symptoms, size of the nasal cavity, location and size of the skull base defect. In the absence of nasal liquorrhea, it is possible to delay surgical treatment in order to be able to use an autologous bone of the calvarium, to collect a larger periosteal flap, to perform the operation using a combined approach and to minimize surgical complications. With endonasal endoscopic access, it is necessary to separate the encephalocele from the surrounding tissues, completely remove the hernial sac and visualize the bone edges of the defect, and then perform its plastic closure.Despite the fact that in most cases the existing methods of treatment are very effective, in a number of cases it is not possible to achieve the desired result. This article presents two rare clinical cases in which patients with basal encephalocele required reoperation for herniation and skull base defect repair.

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Section: рис 5 этапы операции у пациентки с эндоскопические изображен...unclassified

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Reasons for failure of surgical treatment of patients with congenital basal encephaloceles

Chernikova,

Satanin,

Shelesko

et al. 2024

Nejrohirurgiâ (Mosk.)

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Two Uncommon Cases of Pediatric Transethmoidal–Transnasal Encephaloceles with a Review of Literature

Acharya,

Senapati,

Panigrahi

et al. 2024

Indian Journal of Neurosurgery

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Encephaloceles are defined as the herniation of brain matter beyond the confines of the skull bone through a defect on the cranium or face. The encephaloceles are classified into different categories as per onset as congenital or traumatic, as per contents as meningocele, meningoencephalocele, and hydromeningoencephalocele, and as per anatomical location into frontoethmoid, basal, occipital, and cranial vault. Transethmoidal encephalocele is a rare type of encephalocele with a very few patients reported in the literature to date. We are presenting two cases of transethmoidal–transnasal encephalocele in the pediatric age group with one being congenital and other traumatic in onset. The first child presented with a mass visible inside the nasal cavity since birth with nasal obstruction. The second child presented with a history of trauma 5 years back followed by occasional cerebrospinal fluid leak, fever, and nasal stuffiness. Both patients underwent craniotomy and excision of the encephalocele with repair of the defect in the cribriform plate. These two uncommon cases highlight the different onsets of the disease successfully managed surgically.

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Transethmoidal encephalocele endoscopically treated in a newborn: a case report

Cited by 2 publications

References 22 publications

Reasons for failure of surgical treatment of patients with congenital basal encephaloceles

Reasons for failure of surgical treatment of patients with congenital basal encephaloceles

Two Uncommon Cases of Pediatric Transethmoidal–Transnasal Encephaloceles with a Review of Literature

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