Management of meningoencephalocele herniation of temporal bone with five layer repair in a tertiary care centre
Sinha, M., Nayak, D., Prasad, P., Chaudhary, V. (2025). Management of meningoencephalocele herniation of temporal bone with five layer repair in a tertiary care centre. EKB Journal Management System, 20(1), 95-98. doi: 10.21608/pajn.2025.332430.1158
Mihika Sinha; Dipak Ranjan Nayak; Prashasti Prasad; Vyom Kumar Chaudhary. "Management of meningoencephalocele herniation of temporal bone with five layer repair in a tertiary care centre". EKB Journal Management System, 20, 1, 2025, 95-98. doi: 10.21608/pajn.2025.332430.1158
Sinha, M., Nayak, D., Prasad, P., Chaudhary, V. (2025). 'Management of meningoencephalocele herniation of temporal bone with five layer repair in a tertiary care centre', EKB Journal Management System, 20(1), pp. 95-98. doi: 10.21608/pajn.2025.332430.1158
Sinha, M., Nayak, D., Prasad, P., Chaudhary, V. Management of meningoencephalocele herniation of temporal bone with five layer repair in a tertiary care centre. EKB Journal Management System, 2025; 20(1): 95-98. doi: 10.21608/pajn.2025.332430.1158

Management of meningoencephalocele herniation of temporal bone with five layer repair in a tertiary care centre

Pan Arab Journal of Neurosurgery
Article 13, Volume 20, Issue 1, June 2025, Page 95-98  XML PDF (1.04 MB)
Document Type: Case Reports
DOI: 10.21608/pajn.2025.332430.1158
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Authors
Mihika Sinha email orcid 1; Dipak Ranjan Nayak2; Prashasti Prasad3; Vyom Kumar Chaudhary3
1Department of ENT Kasturba Medical College, Manipal, Karnataka, India
2Department of ENT Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India
3Department of Paediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India
Abstract
Meningoencephaloceles of the temporal bone are rare and often misdiagnosed, posing a diagnostic and surgical challenge for the otorhinolaryngologist. Etiologies like chronic otitis media, head trauma, or previous surgical procedures involving the temporal bone can lead to it.Life threatening complications like meningitis, encephalitis, and cerebral abscesses can be prevented by early surgical intervention.
Case presentation
In a pediatric case discussed in this report, the tegmen breach was a result of post-operative iatrogenic cause after being operated for chronic otitis media pathology and was subsequently surgically reduced and repaired in five layers using trans mastoid approach. The patient improved clinically and post-operative computed tomography and pure tone audiogram showed improvement in hearing on subsequent follow ups.
Conclusion
A holistic approach with timely diagnosis, appropriate radiological assessment to visualise the defect and early surgical intervention with transmastoid approach ensuring multilayer closure are key factors in improving the outcome in patients with meningoencephalocele
Keywords
Meningoencephalocele; Temporal bone; Meningitis; Lateral skull base
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