New born children with Encephalocele

Uğraş, Meltem; Kavak, Ozgur

doi:10.21767/2171-6625.100073

Cited by 11 publications

(19 citation statements)

References 25 publications

(27 reference statements)

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“…Velho et al also emphasises this need for a multidisciplinary approach in a case series of 54 patients 14. Close multidisciplinary follow-up after surgery is vital and helps improve the quality of life for this cohort postoperatively 15…”

Section: Discussionmentioning

confidence: 99%

Occipital encephalocele in a neonate: a case successfully managed by excision and formation of a reverse visor scalp flap

et al. 2020

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Encephaloceles are one form of neural tube defect and are associated with partial absence of skull bone fusion, with an incidence of 1–4 cases for every 10 000 live births. We report the case of a neonate born at term, with an antenatal diagnosis of occipital encephalocele, which was successfully managed with excision and formation of a reverse visor scalp flap on day 2 of life.Surgery was performed in a single stage, involving a multidisciplinary approach between neurosurgery and plastic surgery teams, with wider management involving neonatal intensive care, paediatric, obstetric and anaesthetic teams.The patient had no early postoperative complications, and we use this case report to demonstrate that a reverse visor scalp flap is a good option to cover full-thickness defects in patients with encephaloceles.Furthermore, we advocate early repair and a multidisciplinary approach to minimise the morbidity associated with occipital encephaloceles.

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Section: Discussionmentioning

confidence: 99%

Occipital encephalocele in a neonate: a case successfully managed by excision and formation of a reverse visor scalp flap

et al. 2020

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“…Demonstration of a skull defect with varying degrees of brain herniation is the basis for the diagnosis of encephalocele on prenatal Ultrasonography (Ugras and Kavak, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Encephalocele is one of the most severe congenital neural tube defect. It occurs as a result of the failure of separation of surface ectoderm from neuroectoderm leading to a bony defect in the skull (Ugras and Kavak, 2016) characterized by a protrusion of brain and meninges through the defect. Prevalence of 0.8 -5 per 10,000 live births is seen (Liao et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Occipital encephalocele is the most common type of encephalocele with approximately 90% occurring in the midline and most of the cases are diagnosed prenatally.60% of patients are seen associated with other malformations and chromosomal defects (Ugras and Kavak, 2016). Serum alphafetoprotein and ultrasound establishes the prenatal diagnosis, and the prognosis depends on the extent of the herniated neural tissues and associated anomalies (Liao et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Prenatal Ultrasonographic and Magnetic Resonance Imaging Diagnosis of Occipital Meningio-Encephalocele- An Interesting Case Report

Ramakrishnan

Govisetty

Nagendran

et al. 2020

ijrps

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Meningo encephalocele is a congenital anomaly and is a neural tube defect with occipital meningo encephalocele being the most common and is a result of a failure of the surface ectoderm to separate from the neuroectoderm. This condition can be identified in 1st trimester in 80% of cases and almost all by 2nd trimester. A 20-year-old third gravida was referred for antenatal Ultrasonography at five months of amenorrhoea to rule out fetal anomalies. On targeted imaging, for fetal anomalies, a defect was seen in occipital bone with herniation of posterior fossa contents with overlying meningeal covering. No other fetal anomalies were noted. A diagnosis of isolated occipital meningoencephalocele was made with additional fetal MRI correlation. The mother underwent termination of her pregnancy by Department of Obstetrics and Gynecology because of the grim fetal prognosis. The mother was advised to plan the subsequent pregnancies and was advised pre-conceptional folic acid supplementation. We present a case of isolated occipital meningoencephalocele- a rare congenital anomaly which was diagnosed prenatally in our hospital. This case provides an opportunity for identifying such neurological defects early and prompt termination of pregnancy to prevent comorbidity to mother. This study also helps to establish occipital meninigioencephalocele as an isolated clinicoradiological diagnosis and to distinguish it from syndrome associated occipital meninigioencephalocele or those associated with other neural tube defects like Chiari III malformations. It also allows us to stress once again the role of periconceptional folic acid in preventing the occurrence of neural tube defects.

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“…Encephaloceles are associated with defects in the skull vault bones. 7 Namely, a partial defect may occur in bone fusion, leading to the herniation of meninges (cranial meningocele), brain tissue (meningoencephalocele), or brain plus spinal cord tissue (encephalomyelocele). These structural abnormalities may occur everywhere on the skull, although the occipital region is most commonly involved (70%-90% of cases).…”

Section: Discussionmentioning

confidence: 99%

A case report of confusing meningoencephalocele

Perrotta

Gasparroni

Massimi

et al. 2020

Clinical Case Reports

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New born children with Encephalocele

Abstract: Background: Encephaloceles result from failure of the surface ectoderm to separate from the neuroectoderm. We aimed to review the data of cases with occipital encephalocele.

Cited by 11 publications

References 25 publications

Occipital encephalocele in a neonate: a case successfully managed by excision and formation of a reverse visor scalp flap

Occipital encephalocele in a neonate: a case successfully managed by excision and formation of a reverse visor scalp flap

Prenatal Ultrasonographic and Magnetic Resonance Imaging Diagnosis of Occipital Meningio-Encephalocele- An Interesting Case Report

A case report of confusing meningoencephalocele

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