Congenital Basal Meningocele: An Unusual Cause of Nasal Obstructionin Early Life

Retnaningtyas, Lucia Pudyastuti (2025) Congenital Basal Meningocele: An Unusual Cause of Nasal Obstructionin Early Life. Keluwih: Jurnal Kesehatan dan Kedokteran, 6 (2). pp. 87-91. ISSN 2715-6419

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Abstract

Basal meningoceles are rare congenital defects that can cause nasal obstruction and often clinically occult until they result in life-threatening complications. Knowing the clues to early diagnosis, management, and complications is essential. Case: A 7-day-old baby girl was referred to our hospital because of high fever and dyspnoea, and the baby was diagnosed with pneumonia, lip tie, cup ears and suspicion of laryngomalacia. The patient got dyspnoea with stridor when drinking, and it decreased when her mouth was open. The suction catheter could not enter through the left choana. The nasal endoscopy showed an elevation of the hard palate. A 3-dimensional facial CT scan demonstrated a transsellar–transsphenoidal meningocele protruding into the left nasal cavity. A diluted liquid came out from the left nose with a yellowish-clear colour, and the baby showed a high-pitched cry. Bacterial meningitis was established from cerebrospinal liquor analyses. After meningitistreatment,surgical repair to meningocele reposition and bone defect repair was done at 40 days. Conclusion: In our case, the nasal obstruction was not detected from the beginning of birth, and it led to delaysin finding the cause. Basal meningocele in this case was accidentally diagnosed by a facial CT scan exploring the cause of choana atresia. It’s essential to detect choana atresia since birth, explore the etiology immediately, and manage it well to prevent life-threatening complications

Item Type:	Article
Uncontrolled Keywords:	nasal obstruction, congenital basal meningocele, obstruksi hidung, meningocele basal kongenital
Subjects:	R Medicine > RJ Pediatrics
Divisions:	Faculty of Medical > Medical Study Program
Depositing User:	LUCIA PUDYASTUTI RETNANINGTYAS
Date Deposited:	24 Jul 2025 07:46
Last Modified:	24 Jul 2025 07:46
URI:	http://repository.ubaya.ac.id/id/eprint/49119

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