This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Pieter H. Schmidt, MD; Willem Luyendijk, MD

Arch Otolaryngol. 1974;99(6):402-405.

Abstract
In seven of nine cases of intranasal meningoencephalocele, puncture, biopsy, or attempted total removal had been performed, resulting in nasal liquorrhea in six patients and meningitis in four. All of these patients recovered after neurosurgical treatment. An intranasal meningoencephalocele should be suspected if a newborn or a young infant shows an intranasal mass that is located medial to the middle concha bone, especially if this mass is not pedunculated and/or shows pulsations or Fürstenberg sign. Frontal tomography proved to be very useful for the demonstration of the dehiscence in the cribriform plate. Intranasal procedures, including biopsy, should not be performed unless one is prepared for major neurosurgical procedures.

Author Affiliations
Leiden, The Netherlands

From the departments of Otorhinolaryngology (Dr. Schmidt) and Neurosurgery (Dr. Luyendijk), University Medical Centre, Leiden, The Netherlands.

Footnotes
Accepted for publication May 8, 1973.

Reprint requests to Afdeling Keel-neus-oorheelkunde, Academisch Ziekenhuis, Leiden, The Netherlands (Dr. Schmidt).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?