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[A rare case of recurrent meningitis: intranasal encephalocele].

Intranasal meningoencephalocele is a rare malformation characterized by a protrusion of brain tissue and meninges out of the cranial cavity into the nose, through a discontinuity of the ethmoidal cribriform plate. It is a congenital anomaly but it may be also due to trauma or to chronic intracranial hypertension. It is clinically apparent as a small mass that may be confused with nasal polyp. A cerebrospinal fluid leakage may be present. In a few cases it gives no symptoms until adulthood, but usually recurrent meningitis may occur. A case of young woman with intranasal encephalomeningocele who suffered from 18 episodes of meningitis is reported. Nevertheless she is at present without neurological consequences.

Adult↗

Traumatic orbital encephalocele.

We describe a 39-year-old man in whom progressive pulsatile proptosis developed 2 days after he suffered a head injury. Computed tomography revealed an isolated blow-in fracture of the orbital roof with herniation of the left frontal lobe into the orbit. Neurosurgical intervention to repair the orbital defect led to full recovery.

Adult↗

[Overview of the classification and treatment of premature craniosynostosis. On the development of encephalocele following surgery of craniostenosis].

Craniosynostosis means premature closure of one or more cranial sutures. The redirection of the main growth of the brain according to the remaining open sutures results in different deformities of the skull; the intracerebral pressure may be elevated and neurological signs may be present. After reviewing the etiology, pathogenesis, classification and surgical treatment of craniosynostosis, the author describes a severe clinical complication resulting from surgical intervention.

Craniosynostoses↗