Upcoming Events
Log In
Pricing
Free Trial

Encephalocele

HIDE
PrevNext

0:00

This is a patient who had recurrent headaches

0:04

and leakage from the right nasal cavity.

0:08

Pretty clearly, one can see that there is a mass

0:11

in the right nasal cavity that is expansile.

0:14

However, on the T2-weighted examination,

0:18

we can pretty clearly see that this is brain

0:21

tissue that is herniating way down to the level

0:23

of the middle turbinate on the right side.

0:26

The bright signal intensity material below

0:28

this could be obstructed secretions, but

0:31

is probably more likely to be meninges, with

0:34

CSF being dragged by that encephalocele.

0:38

And this is that puckering appearance that

0:41

I've talked about previously when the brain is

0:44

herniating through a gap in the cribriform plate.

0:47

So, a pretty dramatic example

0:50

of a patient who has a meningoencephalocele,

0:53

or encephalocele, with associated CSF leakage

0:57

as the presentation. There's not much

0:59

to see on the post-gadolinium hand scan.

1:01

It usually is a tissue, which is not

1:04

going to show contrast enhancement.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Mahla Radmard, MD

Postdoctoral Research Fellow

Johns Hopkins University School of Medicine

Tags

Sinus

Sinonasal Cavity

Oncologic Imaging

Neuroradiology

MRI

Acquired/Developmental

© 2025 Medality. All Rights Reserved.

Privacy ChoicesImage: Privacy ChoicesContact UsTerms of UsePrivacy Policy