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Introduction Congenital transsphenoidal meningocele is extremely rare. Aim We present a newborn who was found to have a large midline cystic mass protruding from a cleft palate. Case study Radiological imaging showed a large cerebrospinal fluid mass herniating through a large anterior cranial fossa defect into the sphenoid sinus with extension to the nasal cavity through a cleft palate into the oral cavity. Results and discussion A bifrontal craniotomy and decompression of meningocele with dura repair was performed. Conclusions The child was discharged healthy postoperatively and on monthly follow-up and subsequently thriving well with improving neurological recovery.
Aziz et al. (2024) studied this question.