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August 1953


Author Affiliations

From the Department of Otolaryngology, University of Virginia Hospital.

AMA Arch Otolaryngol. 1953;58(2):188-189. doi:10.1001/archotol.1953.00710040207011

INTRANASAL encephalomeningoceles or those found penetrating the lamina cribrosa into the nasal cavity are rare. It is believed that they are reportable if for no other reason than to increase the alertness of the rhinologist to their possible presence. Alertness was deplorably lacking in this particular incident, as will be seen in the following condensed case report.

H. C. H., aged 5 years, in November, 1949, was first brought to a rhinologist by his parents, with a complaint of continuous clear nasal discharge and cough. After clinical and x-ray examinations, a diagnosis of allergic rhinosinusitis was made. At this first examination a small polyp was noted in the right anterior ethmoid region. The treatment advised was as follows: x-ray therapy to the sinuses; an antiallergy regimen, consisting essentially of the elimination of offending antigens, and intermittent use of antihistamines. Later, a tonsillectomy and adenoidectomy were performed for sufficient reasons. During

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