Abstract
Very few cases of parietal intradiploic meningoencephalocele in adulthood have been reported in the literature. In our paper we describe a 54-year-old man with severe and poorly localised headache which was not relieved by usual narcotics and was not associated with nausa, vomiting, dietary factors, stress, and physical fatigue and sleep deprivation. Despite them, the headache was worsened by valsalva maneuver. His neurological examination revealed no abnormalities. Moreover, nothing was found on the examination of his scalp. His past medical history and family history was uneventful. Preoperative imaging (CT and MRI) showed a small right parietal skull defect and a cystic intradiploic lesion. Surgical evaluation revealed a mild brain her- niation and pathological examination showed the arachnoid tissues. Postoperatively, the patient recovered from his presenting symptoms.
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