Primary intranasal encephalocele: a rare cause of bacterial meningitis
- 1 June 1992
- journal article
- Published by Hindawi Limited in Acta Neurologica Scandinavica
- Vol. 85 (6) , 404-407
- https://doi.org/10.1111/j.1600-0404.1992.tb06037.x
Abstract
In four patients with bacterial meningitis a primary intranasal encephalocele was found as portal of entry. In two of the cases the malformation had been misdiagnosed as a nasal polyp and operated upon. In two patients a cerebrospinal fluid fistula developed spontaneously at the age of 54 years. None of the patients had associated symptoms indicating the presence of a cleft. Encephaloceles can be readily visualized by computed tomography particularly in coronal sections. The treatment of choice is transcranial surgical repair.Keywords
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