Document Detail


Endoscopic repair of a rare basioccipital meningocele associated with recurrent meningitis.
MedLine Citation:
PMID:  20672942     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Anatomical variants of the basiocciput are uncommon and usually clinically benign. While the majority remain undetected, these anomalies rarely manifest as CSF rhinorrhea or recurrent meningitis associated with meningocele. Compromise of the leptomeninges provides an avenue of ingress for pathological organisms and can lead to recurrent meningitis, necessitating operative repair of the defect to prevent infection. A review of the literature reveals only 3 cases in which a congenital basioccipital defect has been associated with a meningocele requiring surgical repair. The authors present a case of recurrent meningitis in an infant with a congenital basioccipital meningocele treated with a minimally invasive endoscopic technique. At the 2-year follow-up the repair remained successful, with no evidence of recurrence of the meningocele or CSF infection. The literature regarding the etiology and treatment of these lesions was reviewed, with an emphasis on the safety and efficacy of the endoscopic approach. Note that recurrent meningitis in the setting of a skull base defect may indicate the presence of other congenital anomalies that will necessitate multidisciplinary care for a patient's long-term well-being.
Authors:
Andrew L Ko; Patrik Gabikian; Jonathan A Perkins; David P Gruber; Anthony M Avellino
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  6     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  188-92     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington 98105, USA.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / diagnosis
Cartilage / transplantation
Child, Preschool
Cranial Fossa, Posterior / abnormalities,  pathology,  surgery
Electrocoagulation
Endoscopy / methods*
Fibrin Tissue Adhesive
Follow-Up Studies
Gelatin Sponge, Absorbable
Humans
Infant
Male
Meningitis, Pneumococcal / diagnosis,  surgery*
Meningocele / diagnosis,  surgery*
Microsurgery
Nasopharynx / abnormalities,  pathology,  surgery
Occipital Bone / abnormalities*,  pathology,  surgery
Recurrence
Tissue Adhesives
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Fibrin Tissue Adhesive; 0/FloSeal Matrix; 0/Tissue Adhesives

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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