Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature review

Abstract Meningoencephaloceles (MEC) of the skull base commonly result from head trauma, or congenital malformation, or may arise spontaneously due to increased intracranial pressure, leading to a bony defect and subsequent herniation of brain parenchyma. Spontaneous MEC at orbital and temporal loca...

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Main Authors: S. El Graini, H. Retal, S. Habib Chorfa, N. Ech-Cherif El Kettani, M. Fikri, M. Jiddane, F. Touarsa
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
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Online Access:https://doi.org/10.1186/s43055-024-01417-6
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author S. El Graini
H. Retal
S. Habib Chorfa
N. Ech-Cherif El Kettani
M. Fikri
M. Jiddane
F. Touarsa
author_facet S. El Graini
H. Retal
S. Habib Chorfa
N. Ech-Cherif El Kettani
M. Fikri
M. Jiddane
F. Touarsa
author_sort S. El Graini
collection DOAJ
description Abstract Meningoencephaloceles (MEC) of the skull base commonly result from head trauma, or congenital malformation, or may arise spontaneously due to increased intracranial pressure, leading to a bony defect and subsequent herniation of brain parenchyma. Spontaneous MEC at orbital and temporal locations are rare, with only a few cases reported in the literature. Brain MRI is typically used for diagnosis, and treatment may be medical or surgical, depending on the size of the bony defect. We present an unusual case of a 69-year-old woman with spontaneous orbital and temporal MEC, resulting in proptosis, strabismus, and seizures secondary to idiopathic intracranial hypertension (IIH). This condition was managed medically, with a favourable outcome. This report aims to describe and analyse the case, reviewing the literature on spontaneous MEC in adult patients at different locations caused by IIH and their management, emphasizing the critical role of imaging in diagnosing this etiology.
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institution Kabale University
issn 2090-4762
language English
publishDate 2025-01-01
publisher SpringerOpen
record_format Article
series The Egyptian Journal of Radiology and Nuclear Medicine
spelling doaj-art-93acc9736c654e64951e9078aabb906e2025-01-12T12:12:42ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622025-01-015611810.1186/s43055-024-01417-6Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature reviewS. El Graini0H. Retal1S. Habib Chorfa2N. Ech-Cherif El Kettani3M. Fikri4M. Jiddane5F. Touarsa6Neuroradiology Department, Ibn Sina University HospitalNeuroradiology Department, Ibn Sina University HospitalNeuroradiology Department, Ibn Sina University HospitalNeuroradiology Department, Ibn Sina University HospitalNeuroradiology Department, Ibn Sina University HospitalNeuroradiology Department, Ibn Sina University HospitalNeuroradiology Department, Ibn Sina University HospitalAbstract Meningoencephaloceles (MEC) of the skull base commonly result from head trauma, or congenital malformation, or may arise spontaneously due to increased intracranial pressure, leading to a bony defect and subsequent herniation of brain parenchyma. Spontaneous MEC at orbital and temporal locations are rare, with only a few cases reported in the literature. Brain MRI is typically used for diagnosis, and treatment may be medical or surgical, depending on the size of the bony defect. We present an unusual case of a 69-year-old woman with spontaneous orbital and temporal MEC, resulting in proptosis, strabismus, and seizures secondary to idiopathic intracranial hypertension (IIH). This condition was managed medically, with a favourable outcome. This report aims to describe and analyse the case, reviewing the literature on spontaneous MEC in adult patients at different locations caused by IIH and their management, emphasizing the critical role of imaging in diagnosing this etiology.https://doi.org/10.1186/s43055-024-01417-6Orbital meningoencephalocelesProptosisSeizureIdiopathic Intracranial Hypertension
spellingShingle S. El Graini
H. Retal
S. Habib Chorfa
N. Ech-Cherif El Kettani
M. Fikri
M. Jiddane
F. Touarsa
Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature review
The Egyptian Journal of Radiology and Nuclear Medicine
Orbital meningoencephaloceles
Proptosis
Seizure
Idiopathic Intracranial Hypertension
title Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature review
title_full Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature review
title_fullStr Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature review
title_full_unstemmed Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature review
title_short Spontaneous orbital meningoencephalocele and temporal encephalocele: An odd cause of proptosis and seizure, a case report and literature review
title_sort spontaneous orbital meningoencephalocele and temporal encephalocele an odd cause of proptosis and seizure a case report and literature review
topic Orbital meningoencephaloceles
Proptosis
Seizure
Idiopathic Intracranial Hypertension
url https://doi.org/10.1186/s43055-024-01417-6
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