Format

Send to

Choose Destination
J Med Case Rep. 2017 Dec 27;11(1):359. doi: 10.1186/s13256-017-1497-7.

Congenital basal meningoceles with different outcomes: a case series.

Author information

1
Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido, 078-8510, Japan. s-okano@ceres.dti.ne.jp.
2
Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido, 078-8510, Japan.

Abstract

BACKGROUND:

Basal meningoceles are rare congenital defects and often clinically occult until they result in life-threatening complications. Therefore, it is important to know the diagnostic clues to early diagnosis.

CASE PRESENTATION:

We describe three cases of congenital basal meningocele in a 3-year-old Japanese boy, a 1-month-old Japanese baby boy, and a 10-month-old Japanese baby girl. One of our patients died of sepsis due to traumatic rupture of the meningocele during nasal suction. His meningocele remained undiagnosed until it resulted in the fatal complication. The other patients underwent surgical repair without any complications. Their meningoceles were complicated by midfacial anomalies including cleft palate and hypertelorism, or a sign of nasal obstruction such as snoring.

CONCLUSIONS:

These clinical features may be a clue to the early diagnosis of congenital basal meningocele, which enables its safe preoperative management and provides an opportunity for surgical repair before the condition results in serious complications.

KEYWORDS:

Basal meningocele; Meningitis; Midfacial anomalies; Snore; Suction

PMID:
29279052
PMCID:
PMC5744424
DOI:
10.1186/s13256-017-1497-7
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center