Panero Pérez Irene, Eiriz Fernández Carla, García Pérez Daniel, Lagares Alfonso, Jiménez Roldán Luis, Fernández Alen Jose-Antonio, Castaño León Ana-M, Paredes Igor
Department of Neurosurgery, 12 de Octubre University Hospital, Av. De Córdoba s/n, 28041 Madrid, Spain.
Department of Neurosurgery, 12 de Octubre University Hospital, Av. De Córdoba s/n, 28041 Madrid, Spain.
Neurocirugia (Engl Ed). 2019 Nov-Dec;30(6):294-299. doi: 10.1016/j.neucir.2018.12.001. Epub 2019 Jan 22.
To report a case of post-surgical encephalocele through craniotomy burr holes following the resection of a meningioma of the posterior fossa. A 49-year-old female presented in the emergency room with cephalea. The MRI showed a meningioma of the convexity of the posterior fossa. A resection was performed and the bone flap replaced. The patient recovered uneventfully and was discharged. After 30 days the patient consulted referring cephalea, vomiting and imbalance. Brain MRI revealed a trans-cranial cerebellar herniation through the craniotomy burr holes. An urgent surgery was performed to repair the encephalocele. Post-surgical brain MRI was performed and did not show complications. Post-surgical encephalocele is an uncommon complication after the resection of a posterior fossa lesion. To avoid this complication, it is recommended thorough dural and bony closure, particularly in the posterior fossa surgeries and in high-risk patients.
