case_images: PMC6743700_01
case_images: Postoperative CT w/o intrathecal contrast shows the satisfactory appearance of the paranasal sinuses indicating no recurrent cerebrospinal fluid leak.
case_images: SNI-10-55-g002.jpg
case_images: PMC6743700_01_SNI-10-55-g002.jpg
case_images: F2
case_images: The computed tomography (CT) and magnetic resonance imaging demonstrated a defect in the middle cranial fossa on the right with the encephalocele extending into the sphenoid sinus [Figure 2].
case_images: Preoperative CT with intrathecal contrast depicts the presence of the contrast dye in the right sphenoid sinus which is indicative of encephalocele that is not clearly identifiable on the image.
case_images: SNI-10-55-g003.jpg
case_images: PMC6743700_01_SNI-10-55-g003.jpg
case_images: F3
case_images: Another piece of DuraGen  was laid inside the dural defect due to the lack of access to the dural defect for primary repair [Figure 3].
case_images: Repair of encephalocele with the use of bone morphogenetic protein, DuraGen , and bone graft (Original material).
case_images: SNI-10-55-g004.jpg
case_images: PMC6743700_01_SNI-10-55-g004.jpg
case_images: F4
case_images: CT scan at 9 months' postsurgery showed no findings to indicate recurrent CSF leak, encephalocele, infection, extraneous bony growth, excessive inflammation, or neoplasm [Figure 4].