Balseris Svajūnas, Strazdas Giedrius, Ročka Saulius, Jakštas Tomas
Department of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, Lithuania.
Department of Neurosurgery, Republican Vilnius University Hospital, Siltnamiu Gatvė 29, LT-04130 Vilnius, Lithuania.
Case Rep Otolaryngol. 2015;2015:728561. doi: 10.1155/2015/728561. Epub 2015 Mar 19.
Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.
脑膜脑膨出是一种罕见的病症，通常发生于儿童，由神经外科医生治疗，耳鼻喉科医生偶尔提供协助。脑膜脑膨出的症状可能直到成年才会出现，但通常在出生后立即显现。本文介绍了一名24岁患者的小型前基底经筛窦脑膜脑膨出病例，该患者自童年起就有头痛和流涕症状。采用了经鼻内镜入路切除脑膜脑膨出并重建颅底缺损。得出的结论是，与其他外部显微手术入路相比，内镜经鼻入路侵入性较小，手术效果可接受，恢复时间短，术后并发症少。
