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Nasal meningoencephalocele: A retrospective study of clinicopathological features and diagnosis of 16 patients

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机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Pathol, Beijing 100070, Peoples R China [2]Capital Med Univ, Beijing Tongren Hosp, Dept Imaging Ctr, Beijing 100730, Peoples R China [3]Capital Med Univ, Beijing Tongren Hosp, Dept Pathol, Beijing 100730, Peoples R China [4]Capital Med Univ, Beijing Key Lab Head & Neck Mol Diagnost Pathol, Beijing 100730, Peoples R China
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关键词: Encephalocele Nose Pathology Diagnosis

摘要:
Objective: Nasal meningoencephalocele (encephalocele or cephalocele) is a rare condition with congenital, traumatic, or spontaneous origins. We investigated the clinicopathological characteristics of nasal encephaloceles to improve pathologists' and clinicians' understanding of this disease. Methods: Sixteen patients with nasal encephaloceles were enrolled in this retrospective study investigating the condition's clinical and morphological features. Results: Patients' average age was 37.8 (+/- 20.8) years. The ratio of men to women was 2.2:1, patients' mean age was 47.4 (+/- 11.8) years, and 10/16 patients had spontaneous encephaloceles. All patients with traumatic and spontaneous encephaloceles presented with cerebrospinal fluid leak. In 9/16 patients, the skull defect site occurred on the lateral wall of the sphenoid sinus. Both congenital patients experienced nasal obstruction. Histopathology, herniated tissues were brain and/or meningeal tissue, and the brain tissue was almost mature glial tissue. Conclusion: Nasal meningoencephalocele is a rare condition that can be challenging to diagnose. In patients with recurrent clear nasal discharge or in children with a unilateral nasal mass, a high index of suspicion for encephalocele is essential. In this study, spontaneous cases were most common in adults, and the lateral wall of the sphenoid sinus was the most common location.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 病理学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 病理学
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出版当年[2018]版:
Q3 PATHOLOGY
最新[2023]版:
Q3 PATHOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Pathol, Beijing 100070, Peoples R China
通讯作者:
通讯机构: [3]Capital Med Univ, Beijing Tongren Hosp, Dept Pathol, Beijing 100730, Peoples R China [4]Capital Med Univ, Beijing Key Lab Head & Neck Mol Diagnost Pathol, Beijing 100730, Peoples R China [*1]Department of Pathology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
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