Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Modified two flap palatoplasty in asymptomatic transsphenoidal encephalocele: a case report

  • Received : 2016.06.13
  • Accepted : 2016.08.17
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

About one-third of patients with transsphenoidal basal encephaloceles have associated congenital anomalies, including cleft palate. Moreover, they are often plagued by symptomatic exacerbations in the form of upper respiratory obstructions, cerebrospinal fluid leaks, meningitis, etc., with few patients being asymptomatic. We herein present a rare asymptomatic case of transsphenoidal basal encephalocele in an 18-month-old child with cleft palate and highlight a modified version of two-flap palatoplasty.

Keywords

References

  1. Siffel C, Wong LY, Olney RS, Correa A. Survival of infants diagnosed with encephalocele in Atlanta, 1979-98. Paediatr Perinat Epidemiol 2003;17:40-8. https://doi.org/10.1046/j.1365-3016.2003.00471.x
  2. McLone DG. Congenital malformations of the central nervous system. Clin Neurosurg 2000;47:346-77. https://doi.org/10.1097/00006123-200008000-00015
  3. Hashemi B, Kazemei T, Bayat A. Large sphenoethmoidal encephalocele associated with agenesis of corpus callosum and cleft palate. Iran J Med Sci 2010;35:154-6.
  4. Teng E, Heller J, Lazareff J, Kawamoto H, Wasson K, Garri JI, et al. Caution in treating transsphenoidal encephalocele with concomitant Moyamoya disease. J Craniofac Surg 2006;17:1004-9. https://doi.org/10.1097/01.scs.0000224988.40280.4a
  5. Modesti LM, Glasauer FE, Terplan KL. Sphenoethmoidal encephalocele: a case report with review of literature. Childs Brain 1977;3:140-53.
  6. Rathore YS, Sinha S, Mahapatra AK. Transsellar transsphenoidal encephalocele: a series of four cases. Neurol India 2011;59:289-92. https://doi.org/10.4103/0028-3886.79157
  7. Mahapatra AK. Anterior encephaloceles. Indian J Pediatr 1997;64:699-704. https://doi.org/10.1007/BF02726129
  8. Raman Sharma R, Mahapatra AK, Pawar SJ, Thomas C, Al-Ismaily M. Trans-sellar trans-sphenoidal encephaloceles: report of two cases. J Clin Neurosci 2002;9:89-92. https://doi.org/10.1054/jocn.2001.0861
  9. Morioka M, Marubayashi T, Masumitsu T, Miura M, Ushio Y. Basal encephaloceles with morning glory syndrome, and progressive hormonal and visual disturbances: case report and review of literature. Brain Dev 1995;17:196-201. https://doi.org/10.1016/0387-7604(95)00021-3
  10. Acherman DS, Bosman DK, van der Horst CM. Sphenoethmoidal encephalocele: a case report. Cleft Palate Craniofac J 2003;40:329-33. https://doi.org/10.1597/1545-1569(2003)040<0329:SEACR>2.0.CO;2
  11. Macfarlane R, Rutka JT, Armstrong D, Phillips J, Posnick J, Forte V, et al. Encephaloceles of the anterior cranial fossa. Pediatr Neurosurg 1995;23:148-58. https://doi.org/10.1159/000120952
  12. Bano S, Chaudhary V, Yadav SN, Garga UC. Occult spontaneous lateral intrasphenoidal encephalocele: a rare presentation. J Neurosci Rural Pract 2013;4(Suppl 1):S109-11. https://doi.org/10.4103/0976-3147.116436
  13. Waseem M, Upadhyay R, Al-Husayni H, Agyare S. Intrasphenoidal encephalocele: an incidental finding in emergency department. Int J Emerg Med 2013;6:45. https://doi.org/10.1186/1865-1380-6-45