Traumatic intranasal meningoencephalocoele with a cerebrospinal fistula
Zalilah MUSA1, Irfan MOHAMAD 1, Nik Khairani NIK MOHAMAD 2
1Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia and 2 Department of Otorhinolaryngology- Head & Neck Surgery, Hospital Sultanah Nur Zahirah, Terengganu, Malaysia
Intranasal meningoencephalocoele is a rare clinical entity especially in the adult population. It is usually a congenital anomaly but can occur as a result of traumatic head injury or increased intracranial hypertension. We report the case of 25-year-old Malay man who presented with persistent headache of one-year duration that was associated with bilateral nasal blockage and intermittent right nasal discharge. He was also treated for meningitis and previously had two episodes of closed head injuries. Investigations showed that he had an intranasal transethmoidal meningoenchepalocoele. This was successfully treated with an endoscopic excision and fistula repaired using cartilage graft and tissue glue.
Keywords: Meningitis, cerebrospinal fistula, cerebrospinal leak
Correspondence author: Irfan MOHAMAD, Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus,16150 Kota Bharu, Kelantan, Malaysia.Tel: 690-7676420
E mail: email@example.com
Brunei Int Med J. 2012; 8 (4): 197-201