Open AccessIntranasal glial heterotopia in a male infant
Author(s) -
Wei Zhang,
Lei Tang,
Pengpeng Wang,
Wentong Ge,
Xiaowu Ni
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000021200
Subject(s) - medicine , heterotopia (medicine) , nasal administration , pediatrics , pathology , immunology
Rationale: Nasal glial heterotopia is a rare type of neoplasm consisting of meningothelial and/or neuroglial elements. Patient concerns: A 2-month-old male was evaluated for treatment of a congenital mass in the right nasal cavity near the pharynx. Diagnoses: The patient was preoperatively diagnosed with a congenital intranasal neoplasm. Interventions: Nasal endoscopic resection of the nasopharyngeal mass was performed under general anesthesia. Histological examination of the resected tissue provided a diagnosis of intranasal glial heterotopia. Outcomes: The surgical outcome was good, with no surgical site infection. After 1 year of follow-up, the boy was asymptomatic with no recurrence. Lessons: Excision of a nasopharyngeal mass via nasal endoscopy resulted in no recurrence during 1 year of follow-up. Before any surgical treatment for suspected glial heterotopia, the mass should be differentiated clinically and radiologically from an encephalocele to prevent the risk of cerebrospinal fluid leakage and meningitis.