Temporal anterior encephalocele

Temporal anterior encephalocele.

A 45-year-old woman had complex partial seizures for 25 years with pharmacoresistance for 2 years. EEG showed right temporal epileptiform discharges. MRI revealed atrophy of the right temporal parenchyma (figure, A) herniating toward the pterygomaxillary fossa and the sphenoidal sinus (figure, C). CT demonstrated the bone defect of the sphenoid wing (figure, B) whereas the fusion of both techni...

A Subcranial Approach for Anterior Skull Base Pathology ( Nasal Encephalocele )

A modifi ed subcranial approach based upon the procedure fi rst described by Joram Raveh is a viable alternative to standard craniofacial resection for treating pathology of the anterior skull base. It is basically an extradural approach providing wide exposure to the anterior skull base with minimal brain retraction; thus decreasing signifi cantly the morbidity. We present here two cases of a ...

Prenatal diagnosis of frontonasal dysplasia with anterior encephalocele.

Frontonasal dysplasia is a rare congenital anomaly affecting the eyes, nose and forehead, and occurs sporadically in most of the cases. A 24-year-old woman was referred to our unit at 27 weeks gestation due to the preliminary diagnosis of encephalocele. The sagittal and axial sonography of the fetal face depicted a midline mass measuring 3.8 × 4.2 cm, projecting anteriorly between the fetal orb...

Repair of Temporal Bone Encephalocele following Canal Wall Down Mastoidectomy

We report a rare case of a temporal bone encephalocele after a canal wall down mastoidectomy performed to treat chronic otitis media with cholesteatoma. The patient was treated successfully via an intracranial approach. An enhanced layer-by-layer repair of the encephalocele and skull base deficit was achieved from intradurally to extradurally, using temporalis fascia, nasal septum cartilage, an...

Atypical Etiology of Rhinorrhea: Spontaneous Bilateral Temporal Encephalocele