Diagnosis and treatment of congenital basal encephaloceles in infants

VernacularTitle:婴幼儿先天性基底型脑膜脑膨出的诊断与治疗
Author: Xiaojian YANG ; Jie ZHANG ; Lixing TANG ; Pengpeng WANG ; Wentong GE
Keywords: Meningocele; Endoscopy; Infant
From: Chinese Archives of Otolaryngology-Head and Neck Surgery 2017;24(3):128-131
CountryChina
Language:Chinese
Abstract: OBJECTIVE To discuss the diagnosis and endoscopic treatment of congenital basal encephaloceles in infants.METHODS We retrospectively reviewed the clinical data of 6 infants with congenital basal encephaloceles in Beijing Children's Hospital between January 2014 to September 2016. CT and MRI were performed routinely. All patients underwent endoscopic resection of encephaloceles and repair of skull base defects. RESULTS Five patients presented with transethmoidal encephaloceles and one transsphenoidal encephaloceles. All patients underwent endoscopic procedure successfully. There were no complications except for one 7-month old girl who got purulent meningitis. All patients had favorable clinical outcomes during a follow-up of 3 to 29 months.CONCLUSION For infants with persistent nasal obstruction and nasal neoplasms, congenital basal encephaloceles should be considered. Nasal coronary CT and sagital MRI are of paramount importance in the diagnosis of congenital basal encephaloceles in infants. The endoscopic procedure is the safe and effective method for the management of congenital basal encephaloceles in infants.