Cribriform plate dehiscence with encephalomeningocele revealed by recurrent meningitis: a case report

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Published Feb 11, 2024
https://doi.org/10.62438/tunismed.v102i1.4587
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Vol. 102 No. 1 (2024): Tunis med jan 2024

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Najla Soyah
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medecine of Sousse. University of Sousse,Tunisia
Hajer Ben Belgacem
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medecine of Sousse. University of Sousse,Tunisia
Donia Brahem
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medecine of Sousse. University of Sousse,Tunisia
Nadia Mama
Department of radiology, Sahloul hospital. Faculty of Medicine of Sousse. University of Sousse,Tunisia
Raoudha Kebaili
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medecine of Sousse. University of Sousse,Tunisia
Samia Tilouche
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medicine of Sousse. University of Sousse,Tunisia
Marwa Abdelberi
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medicine of Sousse. University of Sousse,Tunisia
Nesrine Jaballah
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medicine of Sousse. University of Sousse,Tunisia
Jihene Bouguila
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medicine of Sousse. University of Sousse,Tunisia
Lamia Boughamoura
Department of Pediatrics, Farhat Hached hospital. Sousse. Faculty of Medicine of Sousse. University of Sousse,Tunisia

Abstract

Introduction. Meningitis is a potentially life threatening illness. It requires prompt diagnosis and treatment. Recurrent meningitis needs detailed investigations to identify the underlying cause.


Observation. We report a case of recurrent pneumococcal meningitis in a 9-year-old boy with an underlying congenital skull base abnormality. Brain computed tomography (CT) scan showed no obvious skull base defects. A magnetic resonance imaging (MRI) of the brain revealed a dehiscence of the cribriform plate with encephalomeningocele. The patient underwent an endoscopic repair of the bony defect and had not developed any new infections ever since.


Conclusion. This case highlights the need to investigate recurrent bacterial meningitis with CT scan and MRI of the brain and skull base. Repair of these congenital skull base defects are mandatory to prevent the recurrence of meningitis.

Keywords:

Cribliform plate dehiscence, Encephalomeningocele, Recurrent meningitis

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