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Primary intranasal encephalocele: a rare cause of bacterial meningitis
Author(s) -
Berlit P.,
Rakicky J.,
Tornow K.
Publication year - 1992
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1992.tb06037.x
Subject(s) - encephalocele , medicine , nasal administration , meningitis , cerebrospinal fluid , surgery , fistula , coronal plane , radiology , pathology , immunology
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.