Anterior temporal encephalocele

Case contributed by Magdi Mahsoub
Diagnosis certain

Presentation

The patient presented to emergency department complaining of dizziness. No signs of neurological deficit.

Patient Data

Age: 45 years
Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Axial bone
window
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Anteroinferior protrusion of the anterior right temporal lobe with associated remodeling of the right greater wing of sphenoid (GWS) which appears thinned, anterior displaced with rarefaction.

Otherwise unremarkable CT brain.

This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
DWI
This study is a stack
Axial
SWI
This study is a stack
Coronal
T2
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
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Info

Anterior protrusion of anterior right temporal lobe through the greater wing of sphenoid (axial T2, coronal T2, sagittal T2).

Normal size and configuration of the ventricular system.

No midline shift.

No definite intra or extra-axial areas of abnormal intensity.

Within normal posterior fossa structures.

Case Discussion

The radiological features are characteristic of anterior temporal encephalocele.

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