Congenital Basal Meningocele: The Final Diagnosis of An Upper Airway Obstruction Case in Early Life

Retnaningtyas, Lucia Pudyastuti (2022) Congenital Basal Meningocele: The Final Diagnosis of An Upper Airway Obstruction Case in Early Life. In: The 11th Annual Scientific Meeting of Indonesian Pediatric Society Pertemuan Ilmiah Tahunan - Ilmu Kesehatan Anak (PIT - IKA) 2022, 20 - 22 November 2022, Jakarta (Online Symposium).

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Abstract

OBJECTIVE: Basal meningoceles are rare congenital defects and often clinically occult until they result in life-threatening complications such as upper airway obstruction and meningitis. Therefore, it is important to know the diagnostic clues to early diagnosis. CASE: A 7-day-old baby girl was referred to our hospital because of high fever and dyspnea. From history, physical examination and chest X-ray, the baby was diagnosed as pneumonia, lip tie, cup ears and suspicion of laryngomalacia. The suction catheter could not enter through the left choana. But there was no information about that before. During observation in hospital, the patient experienced dyspnea with stridor when drinking or when the lips were closed. Dyspnea decreased if the baby breath with her open mouth. The patient is suspected of having left choana atresia. The patient was planned to be performed nasal endoscopy and facial CT scan. The endoscopic showed the presence of palatum durum elevation that closed the choana result in total right choana atresia and partial left choana atresia. A 3-dimensional facial CT scan demonstrated a transsellar – transsphenoidal meningocele protruding into the left nasal cavity. During hospitalization, a diluted liquid came out of the left nose with a yellowish clear color for several times. The patient still had a fever and high-pitched cry. Lumbar punction then was carried out and from the analysis of cerebrospinal liquor obtained signs of bacterial meningitis. Patient was treated for meningitis for up to 21 days. Surgical repair by neurosurgeon was successfully done at the age of 40 days. CONCLUSION: In our case, basal meningocele was diagnosed based on the results of a facial CT scan that explore the causes of choana atresia. It’s very important to detect choana atresia since birth to find the etiology immediately and to prevent the complication.

Item Type:	Conference or Workshop Item (Poster)
Uncontrolled Keywords:	basal meningocele, upper airway obstruction, choana atresia
Subjects:	R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions:	Faculty of Medical
Depositing User:	LUCIA PUDYASTUTI RETNANINGTYAS
Date Deposited:	26 Feb 2024 05:20
Last Modified:	01 Mar 2024 05:29
URI:	http://repository.ubaya.ac.id/id/eprint/45825

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