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- Title
Transsphenoidal meningoencephalocele associated with cleft lip and palate: challenges for diagnosis and surgical treatment.
- Authors
Franco, Diogo; Alonso, Nivaldo; Ruas, Renata; da Silva Freitas, Renato; Franco, Talita
- Abstract
The aim of this study was to highlight the challenges for early diagnosis and the difficulties observed in surgical treatment of patients with transsphenoidal meningoencephalocele associated with cleft lip and/or palate. We evaluated six male patients treated over the course of 4 years. Five patients presented encephalic herniation with nonfunctional brain tissue; one of these presented herniation of the pituitary gland and cerebral ventricles. All the patients received surgical treatment for the cleft lip and/or palate. Only one patient underwent repair of the meningoencephalocele, via nasal endoscopy. There were no postprocedural clinical or surgical complications. The tendency is to avoid neurosurgery, opting for periodic follow-up with magnetic resonance imaging. In the presence of cleft palate, palatoplasty is essential to protect the meningoencephalocele.
- Subjects
MENINGO-encephalocele; SPHENOID bone; CEREBRAL ventricles; CLEFT lip; CLEFT palate; HERNIA; ENDOSCOPY
- Publication
Child's Nervous System, 2009, Vol 25, Issue 11, p1455
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-009-0918-3