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Abstract
La méningo-encephalocèle sincipitale est une anomalie du tube neural rare dans notre milieu. Elle pose des problèmes d’ordre diagnostique, et thérapeutique.
Nous rapportons l'observation médicale d'une fillette de 6 semaines, qui présentait dès la naissance une masse fronto-nasale molle, expansible aux pleurs de l’enfant, et transilluminable, sans autres malformations associées. L’anomalie s’était compliquée de méningite suite à une effraction cutanée avec fuite de liquide céphalorachidien. Le diagnostic de méningo-encephalocèle était confirmé à la tomodensitométrie cérébrale qui retrouvait également une hydrocéphalie quadriventriculaire. Le traitement neurochirurgical en un temps avait été pratiqué ; les suites opératoires étaient simples.
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References
- Lowe Lisa H, Booth Timothy N, Joglar Jeanne M, Rollins Nancy K. Midface anomalies in children. RadioGraphics 2000;20:907–922.
- Kennard CD, Rasmussen JE. Congenital midline nasal masses: diagnosis and management. J Dermatol Surg Oncol 1990; 16:1025–1036.
- Njamnshi AK, Djientcheu V de Paul, Lekoubou A, Guemse M, Obama MT, Mbu R, Takongmo S, Kago I. Neural tube defects are rare among black Americans but not in sub-Saharan black Africans: the case of Yaounde-Cameroon. J Neurol Sci. 2008 Jul 15;270(1-2):13-7. Epub 2008 Feb 25.
- Ugwu RO, Eneh AU, Oruamabo RS. Neural tube defects in a university teaching hospital in southern Nigeria: trends and outcome. Niger J Med. 2007 Oct-Dec;16(4):368-71.
- Li Z, Ren A, Zhang L, Guo Z and Li Z. A population-based case–control study of risk factors for neural tube defects in four high-prevalence areas of Shanxi province, China. Paediatric and Perinatal Epidemiology 2006; 20: 43–53.
- Mahapatra AK, Suri A. Anterior encephaloceles: a study of 92 cases. Pediatr Neurosurg. 2002 Mar;36(3):113-8.
- Bower C, D'Antoine H, Stanley FJ. Neural tube defects in Australia: trends in encephaloceles and other neural tube defects before and after promotion of folic acid supplementation and voluntary food fortification. Birth Defects Res A Clin Mol Teratol. 2009 Apr;85(4):269-73.
- Holmes AD, Meara JG, Kolker AR, Rosenfeld JV, Klug GL. Frontoethmoidal encephaloceles: reconstruction and refinements. J Craniofac Surg. 2001 Jan;12(1):6-18.
- Faulkner HJ, Sandeman DR, Love S, Likeman MJ, Nunez DA, Lhatoo SD. Epilepsy surgery for refractory epilepsy due to encephalocele: a case report and review of the literature. Epileptic Disord. 2010 Jun;12(2):160-6. Epub 2010 May 21.
- Mahatumarat C, Rojvachiranonda N, Taecholarn C. Frontoethmoidal encephalo-meningocele: surgical correction by the Chula technique. Plast Reconstr Surg 2003; 111:556-65.
- Song Donglei, Zhou Liangfu, Li Shiqi. Long-term follow-up results of dural reconstruction without bone graft at anterior skull-base defects. Chin Med J 2002; 115(4): 552-554
- Holm C, Thu M, Hans A, Martina M, Silvia GS, Moritz S, Wolfgang M. Extracranial correction of frontoethmoidal meningoencephaloceles: feasibility and outcome in 52 consecutive cases. Plast Reconstr Surg. 2008 Jun;121(6):386e-395e.
References
Lowe Lisa H, Booth Timothy N, Joglar Jeanne M, Rollins Nancy K. Midface anomalies in children. RadioGraphics 2000;20:907–922.
Kennard CD, Rasmussen JE. Congenital midline nasal masses: diagnosis and management. J Dermatol Surg Oncol 1990; 16:1025–1036.
Njamnshi AK, Djientcheu V de Paul, Lekoubou A, Guemse M, Obama MT, Mbu R, Takongmo S, Kago I. Neural tube defects are rare among black Americans but not in sub-Saharan black Africans: the case of Yaounde-Cameroon. J Neurol Sci. 2008 Jul 15;270(1-2):13-7. Epub 2008 Feb 25.
Ugwu RO, Eneh AU, Oruamabo RS. Neural tube defects in a university teaching hospital in southern Nigeria: trends and outcome. Niger J Med. 2007 Oct-Dec;16(4):368-71.
Li Z, Ren A, Zhang L, Guo Z and Li Z. A population-based case–control study of risk factors for neural tube defects in four high-prevalence areas of Shanxi province, China. Paediatric and Perinatal Epidemiology 2006; 20: 43–53.
Mahapatra AK, Suri A. Anterior encephaloceles: a study of 92 cases. Pediatr Neurosurg. 2002 Mar;36(3):113-8.
Bower C, D'Antoine H, Stanley FJ. Neural tube defects in Australia: trends in encephaloceles and other neural tube defects before and after promotion of folic acid supplementation and voluntary food fortification. Birth Defects Res A Clin Mol Teratol. 2009 Apr;85(4):269-73.
Holmes AD, Meara JG, Kolker AR, Rosenfeld JV, Klug GL. Frontoethmoidal encephaloceles: reconstruction and refinements. J Craniofac Surg. 2001 Jan;12(1):6-18.
Faulkner HJ, Sandeman DR, Love S, Likeman MJ, Nunez DA, Lhatoo SD. Epilepsy surgery for refractory epilepsy due to encephalocele: a case report and review of the literature. Epileptic Disord. 2010 Jun;12(2):160-6. Epub 2010 May 21.
Mahatumarat C, Rojvachiranonda N, Taecholarn C. Frontoethmoidal encephalo-meningocele: surgical correction by the Chula technique. Plast Reconstr Surg 2003; 111:556-65.
Song Donglei, Zhou Liangfu, Li Shiqi. Long-term follow-up results of dural reconstruction without bone graft at anterior skull-base defects. Chin Med J 2002; 115(4): 552-554
Holm C, Thu M, Hans A, Martina M, Silvia GS, Moritz S, Wolfgang M. Extracranial correction of frontoethmoidal meningoencephaloceles: feasibility and outcome in 52 consecutive cases. Plast Reconstr Surg. 2008 Jun;121(6):386e-395e.