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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2020; 39(03): 239-242
DOI: 10.1055/s-0040-1713919
Case Report | Relato de Caso

Adult Nasoethmoidal Encephalocele Corrected by Supraorbitary Approach: Case Report and Review

Encefalocele nasoetmoidal de adulto corrigida por acesso supraorbitário: Relato de caso e revisão de literatura
Francisco Fernando Dacier Teixeira
1   Departament of Neurosurgery of the Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Raysa Moreira Aprígio
1   Departament of Neurosurgery of the Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Dionei Freitas de Moraes
1   Departament of Neurosurgery of the Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Mário José Góes
1   Departament of Neurosurgery of the Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Feres Chaddad-Neto
2   Departament of Neurosurgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil
,
Ricardo Lourenço Caramanti
1   Departament of Neurosurgery of the Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
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Abstract

Encephalocele is a protrusion of the central nervous system elements through a defect in the dura mater and in the cranium. The prevalence of encephalocele ranges from 0.08 to 0.5 per 1,000 births. The posterior encephaloceles are more common in North America and Europe, while frontal defect is frequently found in Asia. The present paper describes a 26-year-old male patient presenting with cerebrospinal fluid leak and meningitis symptoms. He was diagnosed with congenital nasoethmoidal encephalocele and treated surgically using a supraorbital approach without complications.

Resumo

Encefalocele é definida como uma protrusão dos elementos do sistema nervoso central por um defeito localizado na dura máter no crânio. Sua prevalência apresenta-se entre 0.08 e 0.5 casos a cada 1.000 nascimentos. As encefaloceles posteriores são mais comuns na América do Norte e na Europa, já os defeitos frontais são frequentemente encontrados na Ásia. O presente artigo descreve o caso de um paciente do sexo masculino de 26 anos de idade com quadro de fístula liquórica nasal associada a meningite de repetição. Ele foi diagnosticado com encefalocele nasoetmoidal congênita, e tratado de forma cirúrgica com um acesso via supraorbital, sendo realizada a correção completa da falha sem intercorrências.

Keywords

encephalocele - supraorbitary craniotomy - nasal fluid leak

Palavras-chave

encefalocele - craniotomia supraorbitária - fístula liquórica nasal


Publikationsverlauf

Eingereicht: 31. März 2020

Angenommen: 12. Mai 2020

Artikel online veröffentlicht:
31. Juli 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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Rio de Janeiro, Brazil

 

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