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Case Reports in Otolaryngology
Volume 2015, Article ID 728561, 5 pages
Case Report

Endoscopic Endonasal Approach of Congenital Meningoencephalocele Surgery: First Reported Case in Lithuania

1Department of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, Lithuania
2Department of Neurosurgery, Republican Vilnius University Hospital, Siltnamiu Gatvė 29, LT-04130 Vilnius, Lithuania
3Department of Ear, Nose and Throat Diseases, LSMU Kauno Klinikos, Eiveniu Gatvė 2, LT-50009 Kaunas, Lithuania

Received 19 January 2015; Accepted 1 March 2015

Academic Editor: Seckin Ulualp

Copyright © 2015 Svajūnas Balseris et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.