Endoscopic management of congenital meningo-encephalocele with nasal flaps

SummaryThe objective of this paper is to present a case of a 2-year-old girl diagnosed with a meningo-encephalocele after episodes of meningitis, and treated with a transnasal endoscopic approach using nasal septal flaps pediculated at the sphenopalatine artery. Endoscopic repair is a viable and minimally invasive alternative to traditional craniotomy, however technical difficulties encountered as well as questions that remain unanswered are discussed.