Child with recurrent meningitis: Encephalocele causing anterior cranial fossa defect with CSF rhinorrhoea

Recurrent meningitis in children is potentially life threatening, causing long term morbidities and psychological trauma to the patient through the repeated hospital admission and multiple invasive investigations. Immune deficiency and bacterial migration along congenital or acquired pathways connecting CSF pathways to external surfaces are the two important aetiologies which should be taken into consideration1.