Multiple meningoencephaloceles in a morbidly obese patient
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.iePublished Citation
AlKhalifa M, McLoughlin L, Zilani G, Lacy PD, Woods RSR. Multiple meningoencephaloceles in a morbidly obese patient. Ir Med J. 2023;116(8):840Publication Date
21 September 2023PubMed ID
37791825Department/Unit
- Beaumont Hospital
Publisher
Irish Medical AssociationVersion
- Published Version (Version of Record)