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Egyptian Journal of Neurosurgery
Fig. 2 | Egyptian Journal of Neurosurgery

Fig. 2

From: Post-traumatic meningoencephalocele as a complication after head trauma and surgery: literature review focusing on the relevance of patient’s history and radiological follow-up

Fig. 2

A The patient following cognitive impairment and right sensorimotor neurological deficit underwent an initial cranial CT scan documenting large CSDH and subsequently underwent evacuation surgery by craniotomy hole. After four months, patient started to suffer from otorrhea of the left ear. A high-resolution CT scan (HRCT) evidenced the presence of phlogistic tissue in the left tympanic cavity and mastoid antrum with tegmen tympani erosion and a skull-base significant defect (B, C, red and green dot). A brain MRI was performed and confirmed the presence of a temporal ME through the skull base defect (D). The patient underwent surgical repair with a subtemporal approach, and the herniation site was repaired with muscle, heterologous dural patch, and fibrin glue. Postoperative follow-up HCT documented a successful procedure without complications (E)

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