• Karen Dzhambazov, Ivo Kehayov, Alexandrina Topalova, Borislav Kitov, Hristo Zhelyazkov, and Atanas Davarski.
• Department of Ear, Nose and Throat Diseases, Faculty of Medicine, Medical University-Plovdiv, Bulgaria.
• Afr Health Sci. 2019 Sep 1; 19 (3): 2764-2767.

BackgroundThe clinical presentation of sphenoid sinus meningoencephaloceles (MEC) may have insidious onset and evolution. Contemporary treatment incorporates endoscopic resection via the endonasal route.Case DescriptionWe present a case of 3 year old girl who had been complaining of permanent nasal discharge, impeded nasal breathing and difficulty with feeding since she was 5 months old. There was no history of rhinoliquorrhea. Pre-operative magnetic resonance imaging demonstrated MEC that extended from the sellar region through the non-pneumatized sphenoid sinus to the nasopharynx. The lesion was resected via endoscopic endonasal approach. Follow-up rhinoscopy confirmed the absence of post-operative cerebrospinal fluid leak.ConclusionEndoscopic endonasal approach can be an effective and a safe treatment option for resection of congenital transsphenoidal MEC in early childhood.© 2019 Dzhambazov et al.

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