Meningoencephalocele Presenting as CSF Rhinorrhea in a 7-month-old Child

Meningoencephalocele is a saclike cyst containing brain tissue, cerebrospinal fl uid, and meninges that protrudes through a congenital defect in the skull. It usually presents as nasal broadening and/or as a blue, pulsatile, compressible mass near the nasal bridge which transilluminates, enlarges with crying or with bilateral compression of the internal jugular veins (Furstenberg test), or as an intranasal mass arising from the cribriform plate. We are presenting case of a 7-month-old boy who presented with CSF rhinorrhea and an attack of meningitis after which CT scan was done and diagnosis made of meningoencephalocele. He was operated endoscopically to remove the sac and the defect sealed.