TY - JOUR
TI - Endoscopic Surgical Repair of a Giant, Postoperative, Neglected
Meningoencephalocele
AU - Kosmidou, Panagiota
AU - Ntarladima, Vasiliki
AU - Katsimantas, Antonios
AU - and Filippou, Dimitrios
AU - Georgalas, Christos
JO - CUREUS
PY - 2020
VL - 12
TODO - 1
SP - null
PB - CUREUS INC
SN - null
TODO - 10.7759/cureus.6739
TODO - cerebrospinal fluid leak; meningoencephalocele; rhinorrhea; endoscopic
treatment
TODO - Meningoencephalocele is a rare and potentially lethal disease, requiring
early diagnosis and treatment. A 30-year-old male patient was diagnosed
with a massive meningoencephalocele. His medical history included
cerebrospinal fluid (CSF) rhinorrhea since the age of 7 years, which was
attributed to right eye mining during infancy due to Coats disease.
Following failed attempts of open surgical repair and CSF diversion
during childhood, no further attempts of surgical management were made.
He presented a long history of recurrent episodes of meningitis,
resulting in long-lasting hospitalization in the intensive care unit.
Eventually, he underwent surgical repair through an endoscopic
multilayer approach. Subsequent endoscopic and radiological assessment
demonstrated no recurrence during a follow-up period of one year.
Endoscopic treatment is highly successful. An effective and definite
surgical repair is of paramount importance in order to avoid
life-threatening complications, improve patient's and caregiver's
quality of life, and avoid unnecessary health-system costs.
ER -