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Case Reports
. 2016 Apr-Jun;11(2):178.
doi: 10.4103/1793-5482.145344.

Nasofrontal dermoid with sinus tract upto the tip of the nose: A case report with review of the literature

Ashok Gandhi  1 , I Vijay Sundar  1 , Achal Sharma  1 , R S Mittal  1 , Sapna Gandhi  2
Affiliations
Case Reports

Nasofrontal dermoid with sinus tract upto the tip of the nose: A case report with review of the literature

Ashok Gandhi et al. Asian J Neurosurg. 2016 Apr-Jun.

Abstract

Nasofrontal dermoid with sinus tract extending to the nasal tip is rare in adults. It is unique in its embryological origin, presentation, and management. Pathogenesis involves the incomplete obliteration of the developing neuroectoderm. A sinus opening with intermittent oily discharge is characteristic. Associated intracranial extension may lead to meningitis and brain abscess. We present a case of a 21-year-old adult having a nasofrontal sinus tract with intracranial extension who presented with recurrent episodes of meningitis and discuss the physical findings with relevance to embryology, elaborating on the importance and means of addressing the intracranial as well as extracranial components for complete treatment.

Keywords: Adult; nasofrontal dermoid; recurrent meningitis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Clinical photograph showing a dimple at the tip of the nose
Figure 2
Figure 2
CT scan showing a hypodense lesion
Figure 3
Figure 3
Axial T1 MRI image showing a hyperintense lesion
Figure 4
Figure 4
Sagittal T2 MRI image showing sinus tract upto the nasal tip
See this image and copyright information in PMC

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