Abstract
The management of intranasal Meningoencephalocele has been historically a rare problem managed by the neurosurgeons, although their most outstanding clinical manifestations are rhinological. Nevertheless in the last years with advances in endoscopic sinus surgery (FESS) the treatment of these lesions has become easier to approach and it has diminished significantly the patient morbidity, despite its inherent morbidity. We report a case with an isolated transethmoidal meningoencephalocele, referred to us misdiagnosed as a left ethmoidal polyp with expansion to the ethmoidal roof which it was causing an important skull base defect.After multi-disciplinary evaluation (otolaryngologic, neurosurgical), a transnasal endoscopic resection of meningoencephalocele with endoscopic skull base defect reconstruction was successfully performed in this case, notwithstanding of the important size of the mass and the anterior skull base defect that this causes.They are easily misdiagnosed as nasal polyps and this can be potentially fatal after erroneous.
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