Türk Nöroşirürji Dergisi 2007 , Vol 17 , Num 2
Nasofrontal Encephalocele: A Case Report
Ali Özcan BİNATLI1, Fikret BAŞKAN2, Murat BAŞARIR3, Mehmet Feryat DEMİRHAN4, Nurcan ÖZDAMAR5
1,2,3,4S.B. İzmir Tepecik Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İzmir
5Ege Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İzmir
Encephaloceles are congenital malformations and consist of glial components. Nasal encephaloceles are %60 sincipital, %30 internal and %10 combined. Nasofrontal encephalocele was diagnosed in a 1,5 month old male patient who was referred to our clinic due to an enlarging 3x3x2cm swelling that was observed on the nasal dorsum since his birth. Intracranial connection was cut via a bifrontal approach. Encephalocele sac have been excised by extracranial approach. The bone defect is usually between the frontal and ethmoid bones and usually on the glabella. Multidiciplined approach is required for treatment. Transcranial approach is required to administer dura mending of situations where bone defect was observed on the cranial MRI and cranial CT. In the same session as the above mentioned, extracranial mending can also be done. Anahtar Kelimeler : Bifrontal approach, CSF fistule, Encephalocele