PDF(Pubmed)
Abstract：
Frontoethmoidal encephalocele represents protrusion of meninges and brain in a sac through a defect in the anterior skull base, mostly as swelling over the nose. Rarely it is associated with facial dysmorphism and palatal cleft. There are various perioperative concerns like airway difficulties, leaking from the swelling causing fluid and electrolyte disturbances, risk of infection, compression of the swelling causing a rise in intracranial pressure, bleeding, hypothermia, etc., In neonates, these challenges rise exponentially because of the inherent difficulties in dealing with this group of patients. Frontoethmoidal encephaloceles are common in low socioeconomic strata and are often missed in the antenatal period. We are reporting a rare case of frontoethmoidal encephalocele, with a huge swelling protruding through the cleft palate and occupying more than 50% of the face and oral cavity, making mask ventilation impossible.
摘要：
前脑脑膨出代表脑膜和脑囊通过前颅底缺损突出，主要是鼻子肿胀。很少与面部畸形和腭裂有关。有各种围手术期的问题，如气道困难，从膨胀引起的液体和电解质干扰泄漏，感染的风险，压迫肿胀导致颅内压升高，出血,体温过低,等。,在新生儿中，这些挑战成倍增加，因为在处理这类患者时存在固有的困难。额筛状脑病在低社会经济阶层中很常见，并且在产前阶段经常被错过。我们正在报告一个罕见的额筛脑膨出病例，巨大的肿胀通过腭裂突出，占据面部和口腔的50%以上，使面罩不可能通风。
