Endoscopic management of a large temporal lobe encephalocele

December 31, 2012 by Sofia Avitia, MD and Ryan F. Osborne, MD, FACS
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Head and Neck Clinic

Encephaloceles arise when brain contents from the temporal lobe herniate through the middle cranial fossa and into the lateral sphenoid sinus.

A 46-year-old woman presented with a complaint of rhinorrhea and headaches with nausea and vomiting of a few days' duration. Her medical history was positive for head trauma sustained during a motor vehicle accident. When she bent forward, clear rhinorrhea was seen draining from the right nostril (teapot sign). Nasal endoscopy found no abnormalities.

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