Institutional experience with cranial vault encephaloceles

Bui, Cuong J.; Tubbs, R. Shane; Shannon, Chevis N.; Acakpo-Satchivi, Leslie; Blount, Jeffrey P.; Oakes, W. Jerry

doi:10.3171/ped-07/07/022

Cited by 33 publications

(37 citation statements)

References 7 publications

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“…2 and 3). There are no reports in literature about the long-term outcome of the bony defect or any reduction in its size [26][27][28]. In our patient, it seems that the bone grafts did not stimulate osteogenesis in the defect or any obliteration or reduction in the size of the defect.…”

Section: Discussioncontrasting

confidence: 57%

Inferior encephalocele: transpalatal repair using paired costal bone grafts with a 14-year follow-up

Hassani

Karimi

Hassani³

2011

Journal of Pediatric Surgery

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Section: Discussioncontrasting

confidence: 57%

Inferior encephalocele: transpalatal repair using paired costal bone grafts with a 14-year follow-up

Hassani

Karimi

Hassani³

2011

Journal of Pediatric Surgery

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“…Due to the absence of systematically assessed imaging data, our confidence in predicting the neurological outcome in these cases is generally low. A mainly favorable outcome [23], in contrast to a major neurological disability or death, has been reported in more than half of the cases [4]. Therefore, this retrospective study aimed to describe the morphological features of occipital and parietal meningoencephaloceles using ‘standard' fetal MR sequences and ‘advanced' MRI techniques (DWI, EPI and DTI sequences).…”

Section: Discussionmentioning

confidence: 99%

“…In Europe and the USA, encephaloceles are most frequently located occipitally (2/3 cases); frontal, temporal and parietal locations are less common [3]. Associated cerebral and extracentral nervous system anomalies are found in a significant number of cases (20.5-60% depending on the examined patient cohort [2,4]).…”

Section: Introductionmentioning

confidence: 99%

“…As a group, half of them will be unable to live and function independently in society [4,6]. As the presence of associated intracranial pathologies, including brain malformations, is predictive for the cognitive outcome [6], imaging plays an important role in the diagnostic workup of these conditions and often serves as the primary basis for prenatal counseling.…”

Section: Introductionmentioning

confidence: 99%

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Prenatal Imaging of Occipital Encephaloceles

Kasprian

Paldino²,

Mehollin-Ray³

et al. 2014

Fetal Diagn Ther

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Introduction: This retrospective study aims to describe systematically the fetal cerebral MR morphology in cases with occipital meningoencephaloceles using standard and advanced fetal MRI techniques. Material and Methods: The 1.5-tesla MR examinations (T1- and T2-weighted imaging, echo planar imaging, EPI, diffusion-weighted imaging, DWI) of 14 fetuses with occipital/parietal meningoencephaloceles were retrospectively analyzed for the classification of anatomic characteristics. A diffusion tensor sequence was performed in 5 cases. Results: In 9/14 cases the occipital lobes were entirely or partially included in the encephalocele sac. Typical features of Chiari III malformation were seen in 6/14 cases. The displaced brain appeared grossly disorganized in 6/14. The brainstem displayed abnormal ‘kinking'/rotation (3/14), a z-shape (1/14) and/or a molar tooth-like configuration of the midbrain (3/14). Tractography revealed the presence and position of sensorimotor tracts in 5/5 and the corpus callosum in 3/5. DWI was helpful in the identification of a displaced brain (in 8/9). EPI visualized the anatomy of draining cerebral veins in 7/9 cases. Clinical (9/14) and MRI (7/14) follow-up data are presented. Discussion: Encephaloceles show a wide range of morphological heterogeneity. Fetal MRI serves as an accurate tool in the visualization of brainstem, white matter pathway and cerebral venous involvement and facilitates the detection of specific underlying syndromes such as ciliopathies.

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“…Faltam na literatura, no entanto, estudos baseados em acompanhamentos em longo prazo destes indivíduos, fato que pode subestimar suas possíveis deficiências (Bui et al 2007).…”

Section: Justificativaunclassified

Avaliação multidisciplinar de pacientes com encefalocele anterior: análise das alterações cranianas, encefálicas, neuropsicológicas e de linguagem

Silva¹

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AGRADECIMENTOSAo meu filho Gabriel, pela alegria de sua presença com seu olhar terno e ávido por conhecimento.À minha esposa Ruth, por todo amor, suporte incondicional e compreensão das minhas ausências.Aos meus pais, Osório e Senoir, pelo alicerce familiar, incentivo aos estudos e pela introdução ao mundo médico.Ao meu irmão Hugo, pela amizade e por me lembrar que também existe vida fora da medicina.Às minhas tias Herlene, Clélia e Sibéria e ao meu tio Naidor, professores entusiastas, pelo apoio em minha formação e exemplo de dedicação ao ensino.Ao meus sogros Manoel e Maria Amélia, ao meu cunhado Thomaz, que tanto me encorajaram aos estudos acadêmicos.Ao meu orientador, Prof Dr Adriano Yacubian Fernandes, por todas as oportunidades profissionais, todo apoio e pela segura orientação acadêmica. À Profa Dr a Inge Elly Kiemle Trindade, presidente da comissão de pós-graduação do HRAC, pela dedicação exemplar à ciência, à pesquisa e ao ensino.Ao Dr Sílvo A. Zanini e ao Dr Aristides A. Palhares Neto, pelo aprendizado ao longo destes anos junto à equipe de cirurgia craniofacial do HRAC. A Andréa Cristina da Silva, Maria José Bento Lopes e Rogério da Silveira, da secretaria de pós-graduação do HRAC por toda amabilidade e disposição em guiar-me pela burocracia acadêmica ao longo destes dois anos.Aos colegas da pós-graduação, pela troca de experiências e incentivo.A Denise Aparecida Giacheti, da Unidade de Ensino e Pesquisa do HRAC, pela revisão e normalização deste trabalho.Aos pacientes e seus familiares, por acreditarem na relevância científica deste estudo, disponibilizarem seu tempo e compartilharem suas histórias. F Sexo feminino F-IFator I do questionário de recursos e estresse simplificado, intitulado "Pais e problemas familiares" F-IIFator II do questionário de recursos e estresse simplificado, intitulado "Pessimismo" F-IIIFator III do questionário de recursos e estresse simplificado, intitulado "Características da criança" xi F-IV Fator IV do questionário de recursos e estresse simplificado, intitulado "Incapacidade física" FLAIR Fluid Attenuated Inversion Recovery Fr Osso frontal GC Ginásio completo GI Ginásio incompleto M Sexo masculino MI Classe média inferior Mx Osso maxilar N Osso nasal NC Cartilagem nasal PC Primário completo PI Primário incompletoProf Professor Participants: Ten patients with anterior encephalocele accompanied by the craniofacial surgery team of the HRAC-USP, who underwent neuroradiological (skull computed tomography and brain magnetic resonance), socioeconomic, neuropsychological, language and quality of life evaluations. Results:There was predominance of frontoethmoidal encephaloceles (70% of patients), and corpus callosum malformation was the most frequent brain abnormality (60%).Intellectual disability was observed in 30%, language disorder in 40% and learning disorder in 30%. Significant statistical correlation (p=0,045) was found between neuropsychological and language diagnoses. Variables such as socioeconomic status, parent's educational level, brain abnormalities and quality of...

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Institutional experience with cranial vault encephaloceles

Cited by 33 publications

References 7 publications

Inferior encephalocele: transpalatal repair using paired costal bone grafts with a 14-year follow-up

Inferior encephalocele: transpalatal repair using paired costal bone grafts with a 14-year follow-up

Prenatal Imaging of Occipital Encephaloceles

Avaliação multidisciplinar de pacientes com encefalocele anterior: análise das alterações cranianas, encefálicas, neuropsicológicas e de linguagem

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