Naslov
Meningoencephalic herniation of the temporal bone

Autori
Stela Marković, Josipa Živko, Mislav Malić

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Book of abstracts 2022 / - Zagreb : Liječ Vjesn God. | Vol. 144 [2022] Broj | Num. Supl. 2 Str. | Pag. 1–112 Zagreb, Hrvatska |Croatia, 2022, 63-63

Skup
17th International Biomedical Croatian Student Summit

Mjesto i datum
Zagreb, Hrvatska, 27.04.2022. - 30.04.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
cranial meningoencephalocele, mastoidectomy, otitis media with effusion, tympanoplasty

Sažetak
INTRODUCTION/OBJECTIVES: Meningoencephalocele is a potentially life-threatening condition in which meningeal or enchephalic tissue is herniated into the middle ear or mastoid through the bony defect in the tegmen plate. CASE PRESENTATION: A 55-year-old woman presented to the ENT department with a headache around the left ear, ear fulness, and conductive hearing loss. She had previously had a tympanomastoidectomy two years ago. Otoscopy showed effusion behind the intact tympanic membrane. Although more common conditions such as otitis media with effusion or eustachian tube dysfunction present with such symptoms, a history of salty taste in her mouth lead us to suspicion of iatrogenic meningoencephalocele. The diagnosis of brain tissue herniation was confirmed via radiographic imaging. She was treated surgically with a reconstruction of the skull base defect and made a full recovery. CONCLUSION: This condition is rare and serious and one has to be suspicious when there is otitis media with effusion in a previously operated ear. Potential complications include cerebrospinal fluid leak, epilepsy and intracranial infection. The treatment of choice is surgery and the approach is chosen depending on the size of the bone defect.

Izvorni jezik
Engleski

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