Presentation
OBJECTIVE: Nasal encephalocele may presents as a nasal mass, its treatment is surgical and it should be done early in life. [ncbi.nlm.nih.gov]
Nasal encephaloceles usually present at birth with symptoms of obstruction or other complications. It presents as an external swelling on the nose. [radiopaedia.org]
In a study including 114 patients, 59% have presented normal development, 18% have presented some degree of physical or mental deficiency, and 23% have a severe deficiency( 2). [rb.org.br]
Entire Body System
- Sepsis
The endoscopic approach has a good success rate with lower perioperative mortality and lower incidence of postoperative complications such as meningitis, CSF leak, and sepsis. [ejrnm.springeropen.com]
Sinogenic sepsis in immunocompetent patients is a very rare event besides cases with artificial respiration. In immunosuppressed patients the possibility of sinogenic fungal infection must be taken into consideration [801]. [egms.de]
- Anemia
New chapters, expanded and updated coverage, increased worldwide perspectives, and many new contributors keep you current on the late preterm infant, the fetal origins of adult disease, neonatal anemia, genetic disorders, and more. "...a valuable reference [books.google.com]
- Gangrene
Diagnosis Code Q01.9 Encephalocele, unspecified 2016 2017 2018 2019 Billable/Specific Code POA Exempt specified NEC Q01.8 Hernia, hernial (acquired) (recurrent) K46.9 ICD-10-CM Diagnosis Code K46.9 Unspecified abdominal hernia without obstruction or gangrene [icd10data.com]
Musculoskeletal
- Neck Pain
This was associated with fever, headache and neck pain for the last 10 days. She had a history of severe pneumococcal meningitis progressing to coma 4 years ago. MRI showed post contrast enhancement of her meninges indicating meningitis. [jpma.org.pk]
Skin
- Angiomatosis
Soyer P, Dobbelaere P, Reizine D, Ferquel C : Transalar sphenoidal meningoencephalocele associated with buccal angiomatosis. One case. J Neuroradiol 17 : 222-226, 1990 21. [jkns.or.kr]
Face, Head & Neck
- Epistaxis
Diagnosis Evaluation and Treatment 627 Blood Supply of the Nose and Paranasal Sinuses 628 Therapeutic Strategy 630 Management of Epistaxis in RenduOslerWeber Syndrome 632 Summary 633 Endoscopic Surgery of the Orbit 636 Indications for a Transnasal Approach [books.google.com]
They can cause: obstruction of the nasal passage respiratory compromise in infants obstruction of the nasolacrimal duct, with resultant epiphora cerebrospinal rhinorrhea meningitis epistaxis Nasal gliomas are composed of dysplastic glial tissue and are [radiopaedia.org]
The intranasal glioma may present with nasal obstruction, epistaxis or nasal deformity and usually arise from the lateral nasal wall (on examination an intranasal encephalocele arises medially). [jpss.eu]
Epistaxis as an unusual presentation of an antrochoanal polyp. J Laryngol Otol 1990;104:643-4. [ PubMed ] [ Google Scholar ] 25. Ole-Lengine L, Manni JJ. A strangulation antrochoanal polyp. A case report. [ncbi.nlm.nih.gov]
Patients may present with unilateral nasal obstruction, unilateral nasal mass, epistaxis, or cerebrospinal rhinorrhea. Dystopia canthorum or hypertelorism is more common with extracranial lesions. [emedicine.medscape.com]
Neurologic
- Papilledema
A fundoscopic examination should be performed to rule out papilledema caused by increased intracranial pressure as a result of hydrocephalus. Computed tomography (CT) is the most useful imaging modality for assessing this abnormality. [pocketdentistry.com]
Workup
The preoperative workup is essentially based on imaging. [csurgeries.com]
Imaging studies in the diagnostic workup of neonatal nasal obstruction. J Comput Assist Tomogr. 2001;25(4):540. [shahfacialplastics.com]
Treatment
OBJECTIVE: Nasal encephalocele may presents as a nasal mass, its treatment is surgical and it should be done early in life. [ncbi.nlm.nih.gov]
Treatment Modalities 480 Conclusions 483 Conventional and Endoscopic Approaches to the Pituitary 485 Surgical Indications 486 Conventional Approaches to the Pituitary 487 Outcomes 489 References 490 Nasal and Paranasal Sinus Anatomy for the Endoscopic [books.google.com]
This is essential for determining the best treatment for an encephalocele. Encephalocele Treatment Surgery to remove the herniated sac and repair the opening in the skull is the only encephalocele treatment. [upmc.com]
Prognosis
[…] may be associated with brain malformations that can have an effect on the prognosis. [chw.org]
Treatment and prognosis The prognosis is variable depending on the presence of associated anomalies and presence of microcephaly (carries a much poorer prognosis). [radiopaedia.org]
What is the prognosis? The prognosis for individuals with encephaloceles varies depending on the type of brain tissue involved, the location of the sacs, and the accompanying brain malformations. [calsinus.com]
[…] this highly lauded three-volume reference provides an interdisciplinary approach to the diagnosis, treatment, and management of head and neck diseases, including the incidence, etiology, clinical presentation, pathology, differential diagnosis, and prognosis [books.google.de]
The prognosis appears to be better for patients with frontoethmoidal encephaloceles than for patients with occipital or parietal encephaloceles, and it depends largely on the presence of additional congenital anomalies of the brain. [ncbi.nlm.nih.gov]
Etiology
Updated, reorganized, and revised throughout, this highly lauded three-volume reference provides an interdisciplinary approach to the diagnosis, treatment, and management of head and neck diseases, including the incidence, etiology, clinical presentation [books.google.de]
Etiology and embryogenesis Theories abound to explain teratoma occurrence. [emedicine.medscape.com]
These lesions affect children from the low socioeconomic class, but its etiology remains poorly understood.[ 8 ] Encephaloceles can be congenital or acquired secondary to tumor, hydrocephalus or other cause.[ 9 ] Some suggest that its etiology could be [ncbi.nlm.nih.gov]
Reich, EW, Wishnick, MM: A clinical investigation into the etiology of frontonasal dysplasia. Am J Hum Genet 33: 88 A, 1981. Google Scholar 19. [journals.sagepub.com]
Epidemiology
The discussion covers the phenotype spectrum, epidemiology, mode of inheritance, pathogenesis, and clinical profile of each condition, all of which is accompanied by a wealth of illustrations. [books.google.it]
Each entity is extensively discussed with information on clinicopathological, epidemiological, immunophenotypic and genetic aspects of these diseases. This book is in the series commonly referred to as the "Blue Book" series. Contributors: :Dr. [books.google.de]
Epidemiology of frontoethmoidal encephalomeningocoele in Burma. J Epidemiol Community Health. 1984; 38 :89–98. [ PMC free article ] [ PubMed ] [ Google Scholar ] 12. Bhagwati S, Mahapatra A. Pediatric Neurosurgery. [ncbi.nlm.nih.gov]
Recurrences or more correctly persistence may be seen in up to 30% of patients if not completely excised. [1] Epidemiology [ edit ] Nasal glial heterotopia is rare, while an encephalocele is uncommon. [en.wikipedia.org]
Most registries and epidemiological studies classify encephaloceles using broad categories like frontal, parietal, occipital and sphenoidal. [rarediseases.org]
Pathophysiology
Nasal encephaloceles: a review of etiology, pathophysiology, clinical presentations, diagnosis, treatment, and complications. Tirumandas M, Sharma A, Gbenimacho I, Shoja MM, Tubbs RS, Oakes WJ, Loukas M. Tirumandas M, et al. [pubmed.ncbi.nlm.nih.gov]
Fig. 1 Midline nasal mass pathophysiology. ( A ) Encephalocele: neural contents herniate through the foramen cecum. ( B ) Glioma: trapped neural contents with an intact skull base. ( C ) Dermoid: invagination of skin elements toward the skull base. [pocketdentistry.com]
Currently it is unclear if it is a pathogenetic factor of the disease or mere a consequence [19], [1294], [1299] and which exact pathophysiological correlations exist [1291]. [egms.de]
Prevention
These must be prevented by careful planning of the procedure after having studied the patient���¢s anatomy on the CT-scan. [csurgeries.com]
Suwanwela Medicine British journal of preventive & social medicine 1972 In western countries, spinal and occipital meningoceles are common, but in Thailand the authors have found an exceptionally high incidence of encephalomeningocele in the anterior [semanticscholar.org]
Wang Y, Liu G, Canfield MA, Mai CT, Gilboa SM, Meyer RE, Anderka M, Copeland GE, Kucik JE, Nembhard WN, Kirby RS; National Birth Defects Prevention Network. [cdc.gov]
Surgery is performed early in life to prevent progression of the process and prevent damage to the herniated tissue. [chop.edu]
If brain tissue is present, it may be referred to as a meningoencephalocele. [2] When the head size or occipitofrontal circumference is smaller than the herniating sac, then it is termed as giant encephalocele. [3] Prevention [ edit ] It is recommended [en.wikipedia.org]