RESUMO
Encephalocele is a protrusion of the central nervous system elements through a defect in the dura mater and in the cranium. The prevalence of encephalocele ranges from 0.08 to 0.5 per 1,000 births. The posterior encephaloceles are more common in North America and Europe, while frontal defect is frequently found in Asia. The present paper describes a 26-year-old male patient presenting with cerebrospinal fluid leak and meningitis symptoms. He was diagnosed with congenital nasoethmoidal encephalocele and treated surgically using a supraorbital approach without complications.
Assuntos
Humanos , Masculino , Adulto , Procedimentos Neurocirúrgicos/métodos , Encefalocele/cirurgia , Osso Etmoide/cirurgia , Cavidade Nasal/cirurgia , Órbita/anatomia & histologia , Crânio/anatomia & histologia , Crânio/anormalidades , Craniotomia/métodos , Encefalocele/diagnóstico por imagem , MeningiteRESUMO
A decompressive craniectomy is a therapeuticmodality not commonly used in cases of refractory intracranial hypertension due to viral encephalitis. In this article the authors present two cases of patients with viral encephalitis that have undergone decompressive craniectomy to control intracranial pressure. Both evolved with Glasgow outcome score of 4. The main clinical data for the surgical decision are Glasgow coma scale and the pupils of the patient associated with the imaging tests showing a large necrotic area and perilesional edema. The evolution of the patients undergoing decompression was satisfactory in 92.3% of cases.