Encephalocele into the transverse sinus

Case contributed by Elena Filimonova
Diagnosis certain

Presentation

Headache and high arterial blood pressure

Patient Data

Age: 75 years
Gender: Female

There is an occult encephalocele of the posterior part of the left inferior temporal gyrus into the arachnoid granulation in the left transverse sinus. Empty sell noted.  Note is also made of multiple confluent bilateral chronic small vessel ischemic changes (cerebral small vessel disease due to arteriolosclerosis).

Case Discussion

Occult encephalocele into dural sinuses is a rare entity and usually occurs due to intracranial hypertension. It can be an incidental finding, as in this case. 

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