A 1 year old child was brought to OPD with soft ,compressible swelling on nose which increases on Coughing. Which of the following is most likely the diagnosis?: (A) Ethmoid cyst, (B) Meningoencephalocele, (C) Lacrimal sac cyst, (D) AV malformation
Answer is B. Nasal Meningoencephalocele Brain tissue herniates along with its meninges herniates through a bony defect C/F: Soft,cystic,compressible,translucent subcutaneous swelling present at: Root of nose Side of nose Anteromedial aspect of the orbit Swelling show cough implulse (Positive Frustenberg test) and may be reducible Ix -CT/MRI: Rx- Cut the tumor stalk from the brain and repairing the bony defect