Nasal encephalocele

Case contributed by Prashant Gupta
Diagnosis certain

Presentation

Long standing swelling medial to left eye. CT scan outside reported as "orbital dermoid".

Patient Data

Age: 10 months
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

mri

There is a cystic lesion medial to the left globe. Coronal images demonstrate continuity of the cyst with a herniated frontal lobe tissue and the intracranial compartment.

Case Discussion

Encephaloceles are uncommon, but are important lesions to consider. Imagine the results of deciding to excise this 'dermoid' without appreciating the actual pathology. 

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