Chronic nasal obstruction: ethmoidal encephalocele in an adult patient]

Nasal obstruction is a frequent cause of referral to the ear. and throat specialist When this symptom is resistant 10 medical management and common causes have been ruled out, the presence of neural structures should he investigated In the nasoethmoidal meningoencephalocele\, a congenital defect of the ehmoid lamina cribrosa allows the herniation of the intracramal contents into the lima! fossa The key to clinical diagnosis is the presence nasal obstruction with rhimorrhea and recurrent meningitis We describe the case of a 33-year old female who was long treated for nasal polvposis and underwent a successful surgical treatment of ethimoidal mennigoencephalocele