In the present case we report about an encephalomeningocele in an adult female. Since the cause of this medical entity is a con-genital fusion defect of the neural tube of the cranial base, most of the encephaloceles occurs in children leading to facial disfigure-ment. In the rare cases described in adults, rhinorrhea is usually present. Here we present a case of temporobasal encephalomeningocele in a 72-year-old female patient suffering from headaches in the last 4-5 years. No rhinorrhea or other significant neurological symptoms were noticed. No congenital cause was appar-ent. After diagnostic steps including brain magnetic resonance imaging (MRI), cranial computed tomography (CT) and MR cisternog-raphy, an encephalomeningocele was diag-nosed. Through a pterional approach this was completely removed. The only symptom the patient complaint about, headache, was elimi-nated after surgery
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