encephalocele/obesity

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The role of obesity in spontaneous temporal bone encephaloceles and CSF leak.

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OBJECTIVE Temporal bone encephaloceles and cerebrospinal fluid (CSF) otorrhea can lead to life-threatening sequelae such as meningitis and cerebritis. Obesity has been associated with spontaneous CSF leaks. We wished to determine if there were differences in the body mass index (BMI) of patients

Idiopathic temporal bone encephaloceles in the obese patient.

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OBJECTIVE Our aims were to introduce temporal bone encephalocele (TBE) to the differential diagnosis of persistent middle ear effusion, cerebrospinal fluid otorrhea, or chronic otitis media in obese adults and to demonstrate the basic pathophysiologic principles of morbid obesity as it may lead to

The Role of Obesity in Iatrogenic Encephaloceles of the Temporal Bone.

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Acquired encephaloceles of the temporal bone may be traumatic, spontaneous, or from chronic ear disease or previous surgery. Iatrogenic encephaloceles arise in the setting of previous mastoidectomy and traditionally involve both bony dehiscence and dural injury. We aim to classify and

Treatment of secondary tonsillar herniation by lumboperitoneal shunt revision.

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BACKGROUND Idiopathic intracranial hypertension (IIH) is a condition that usually affects young, obese women. Management is aimed at controlling symptoms of increased intracranial pressure (ICP) and prevention of visual failure due to papilledema. A common surgical treatment for IIH is the insertion

Diagnosis and management of spontaneous cerebrospinal fluid fistula and encephaloceles.

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To describe the current state in the diagnosis and management of spontaneous cerebrospinal fluid (sCSF) fistula and encephaloceles.The increased incidence of obesity has resulted in more cases of sCSF fistula and encephaloceles. Obesity results in increased

[Does maternal obesity increase the risk of fetal abnormalities? Analysis of 20,248 newborn infants of the Mainz Birth Register for detecting congenital abnormalities].

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OBJECTIVE To investigate the risk of congenital malformations for newborn of obese women (BMI > or = 30) compared with women of average prepregnancy weight. METHODS We performed a prospective, population-based case-control study of 20,248 newborn born in the city of Mainz. A total of 1,451 infants

Middle Cranial Fossa Encephalocele and Cerebrospinal Fluid Leakage: Etiology, Approach, Outcomes

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Objective To compare outcome data for surgical approaches in the management of a middle cranial fossa encephalocele or cerebrospinal fluid (CSF) leak and, secondarily, to evaluate the role of obesity and the etiology of the defect. Design Retrospective Setting Quaternary

Maternal overweight and obesity and the risk of neural tube defects: a case-control study in China.

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BACKGROUND Studies have suggested that being obese before pregnancy is a risk factor for neural tube defects (NTDs), while results of many studies are controversial. This study aims to explore the association between maternal overweight and obesity before pregnancy and risk of NTDs. METHODS A 1:1

Temporal bone encephalocele and cerebrospinal fluid fistula repair utilizing the middle cranial fossa or combined mastoid-middle cranial fossa approach.

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OBJECTIVE The goals of this study were to report the clinical presentation, radiographic findings, operative strategy, and outcomes among patients with temporal bone encephaloceles and cerebrospinal fluid fistulas (CSFFs) and to identify clinical variables associated with surgical outcome. METHODS A

Bilateral middle cranial fossa encephaloceles presenting as conductive hearing loss.

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We report a case involving a patient with bilateral middle cranial fossa encephaloceles extending into the middle ear and causing conductive hearing loss. An obese, 47-year-old woman with a history of a seizure disorder presented with a slow-onset subjective hearing loss. Examination revealed opaque

Association of benign intracranial hypertension and spontaneous encephalocele with cerebrospinal fluid leak.

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OBJECTIVE To determine the incidence of intracranial hypertension in patients with spontaneous encephalocele with cerebrospinal fluid (CSF) leak. METHODS Retrospective case review. METHODS Tertiary care neurotology practice. METHODS Patients presenting between 2008 and 2011 with spontaneous

A posterior fossa lipoma extending into the cervical spine and subcutaneous space via a cranium bifidum.

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We describe a 10-year-old boy with an intracranial lipoma in the posterior fossa. The patient had a subcutaneous tumor of the posterior neck at birth, which was gradually growing and subsequently accompanied by gait disturbance and ataxia. MR imaging revealed the intracranial lipoma in the posterior

Cerebellar tonsillar herniation after weight loss in a patient with idiopathic intracranial hypertension.

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Acquired cerebellar tonsillar herniation is a known complication of lumboperitoneal shunt (LPS) for any indication, including idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri.(1) While the underlying pathophysiology of IIH remains unknown, increasing body mass index is a

Endoscopic endonasal repair of anterior skull base non-traumatic cerebrospinal fluid leaks, meningoceles, and encephaloceles.

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OBJECTIVE The endoscopic endonasal approach has become the preferred technique for CSF leak and encephalocele repair of the anterior skull base. The purpose of this study is to identify patient characteristics; review adjunctive perioperative treatments, reconstruction techniques, and outcomes; and

Pontine encephalocele and abnormalities of the posterior fossa following transclival endoscopic endonasal surgery.

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OBJECTIVE Transclival endoscopic endonasal surgery (EES) has recently been used for the treatment of posterior fossa tumors. The optimal method of reconstruction of large clival defects following EES has not been established. METHODS A morphometric analysis of the posterior fossa was performed in

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