Prenatal Imaging of Occipital Encephaloceles

Kasprian, Gregor; Paldino, Michael J.; Mehollin-Ray, Amy R.; Shetty, Anil N.; Williams, Jennifer L.; Lee, Wesley; Cassady, Christopher I.

doi:10.1159/000366159

Cited by 21 publications

(9 citation statements)

References 35 publications

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“…Specifically, fetal ultrasound has a screening detection rate of 60–94% for neural tube anomalies [54, 55], and fetal magnetic resonance imaging (MRI) displays anatomical details of the malformation, confirms ultrasonography diagnoses, and identifies possible associated anomalies [55, 56]. Moreover, the results of the Management of Myelomeningocele Study (MOMS), which investigated the benefits of antenatal treatment of myelomeningocele as compared to that of postnatal treatment [9], supported the efficacy of fetal surgery for congenital diseases.…”

Section: Occipital Encephalocelementioning

confidence: 99%

Antenatal management of fetal neurosurgical diseases

et al. 2017

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The advance in the imaging tools during the pregnancy (ultrasound and magnetic resonance) allowed the early diagnose of many fetal diseases, including the neurological conditions. This progress brought the neurosurgeons the possibility to propose treatments even before birth. Myelomeningocele is the most recognized disease that can be treated during pregnancy with a high rate of success. Additionally, this field can be extended to other conditions such as hydrocephalus and encephaloceles. However, each one of these diseases has nuances in the diagnostic evaluation that should fit the requirements to perform the fetal procedure and overbalance the benefits to the patients. In this article, the authors aim to review the neurosurgical aspects of the antenatal management of neurosurgical conditions based on the experience of a pediatric neurosurgery center.

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Section: Occipital Encephalocelementioning

confidence: 99%

Antenatal management of fetal neurosurgical diseases

et al. 2017

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“…It also revealed the configuration of the brain stem regions. Moreover, postnatal follow-up MRI confirmed the prenatal findings and showed additional morphological information such as vascular anatomy [7]. Furthermore, Magnetic Resonance Angiography is the optimal investigation to visualize the relationship of the sac to the venous sinuses.…”

Section: Discussionmentioning

confidence: 58%

Occipital Meningoencephalocele case report and review of current literature

Alwahab¹,

Kharsa²,

Nugud³

et al. 2017

Chin Neurosurg Jl

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Background: Meningoencephalocele is a rare congenital anomaly that is characterized by herniation of brain tissue through a defect in skull. Generally, it could be divided by anatomical location of defect to occipital and frontoethmoidal. The exact etiology of this condition is unknown but many theories have been postulated. The condition is usually seen at birth but can be identified prenatally. Case presentation: A newborn was brought to the hospital after a normal non-complicated vaginal delivery done by the ambulance personnel. The newborn had a bulging mass on the posterior aspect of the head. Therefore, he was admitted and neurosurgical consultation was done for further evaluation. Currently the patient is following up in well baby clinic as well as the neurosurgery clinic for normal development and milestones acquisition. Conclusions: This case presents the opportunity for junior healthcare professionals to learn about a group of congenital neurological disorder in the content of a rare case presentation.

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“…The herniated contents are non-functioning in most cases, as a result of pathological processes such as calcification, necrosis and gliosis 9. Some of these abnormalities can be identified before birth on fetal MRI, showing involvement of the brainstem, cerebral vessels and white matter pathways 10…”

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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Prenatal Imaging of Occipital Encephaloceles

Cited by 21 publications

References 35 publications

Antenatal management of fetal neurosurgical diseases

Antenatal management of fetal neurosurgical diseases

Occipital Meningoencephalocele case report and review of current literature

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

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