Neck swelling due to skull base (pseudo)meningocele protruding through a congenital skull base bone defect: a case report View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-02

AUTHORS

Rajeev Sharma, Bhoopendra Singh, Shweta Kedia, Rajinder Kumar Laythalling

ABSTRACT

BACKGROUND: Meningocele is defined as a protrusion of the meninges through an opening in the skull or spinal column, forming a bulge or sac filled with cerebrospinal fluid. A pseudomeningocele is defined as a cerebrospinal fluid (CSF) collection formed due to escape of CSF through a dural defect with trapping of CSF into the surrounding soft tissues. We herby report rare occurrence of a large (pseudo)meningocele in a young patient with congenital skull base defect presenting as upper lateral neck swelling. CASE PRESENTATION: We present the case of a 17-year-old boy who had painless progressive swelling right side of the upper neck without any history of meningitis or CSF leak. He had a history of undergoing cranioplasty using steel plates for nontraumatic boggy swelling right parieto-occipital region at the age of 5 years at another hospital. Clinical examination showed painless swelling right side of the upper neck, with positive cough impulse and transillumination. CT head with cisternography showed a large right skull base defect through which a large pseudomeningocele was herniating, thus producing upper neck swelling and compressing oral cavity. The neck swelling and intraoral bulge reduced in size after the coperitoneal shunt. CONCLUSION: Differential diagnosis of (pseudo)meningocele should be considered while evaluating a painless progressive upper neck swelling having cough impulse and transillumination in a young patient. More... »

PAGES

369-373

References to SciGraph publications

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URI

http://scigraph.springernature.com/pub.10.1007/s00381-016-3256-2

DOI

http://dx.doi.org/10.1007/s00381-016-3256-2

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https://app.dimensions.ai/details/publication/pub.1038974889

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27830332


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