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Multiple meningoencephaloceles in a morbidly obese patient

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journal contribution
posted on 2023-10-06, 15:40 authored by Muneera AlKhalifa, L McLoughlin, G Zilani, PD Lacy, RSR Woods

Presentation 

A 47-year-old morbidly obese female presented with seizures associated with progressive confusion, pyrexia and headache. Nasal endoscopy showed a smooth grey mass filling the entire right nasal cavity. 

Diagnosis 

CT scan showed a hypodense expansile lesion filling the right nasal cavity. A large bony defect was noted in the posterior table of the right frontal sinus. MRI showed intracerebral right frontal empyema. 

Treatment 

Image-guided endoscopic approach was conducted to repair all defects. 

Discussion 

Patients with characteristic profiles fitting that of suspected increased intracranial pressure should alert the skull base surgeon of the possibility of multiple defects. Further documentation of such cases will help to determine the best diagnostic and management approach of multiple meningoencephalocoeles with CSF leak.

History

Comments

The original article is available at www.imj.ie

Published Citation

AlKhalifa M, McLoughlin L, Zilani G, Lacy PD, Woods RSR. Multiple meningoencephaloceles in a morbidly obese patient. Ir Med J. 2023;116(8):840

Publication Date

21 September 2023

PubMed ID

37791825

Department/Unit

  • Beaumont Hospital

Publisher

Irish Medical Association

Version

  • Published Version (Version of Record)