Occipital Meningoencephalocele case report and review of current literature

Alwahab, Ahmed; Kharsa, Adnan; Nugud, Alaa; Nugud, Shomous

doi:10.1186/s41016-017-0104-5

Cited by 9 publications

(8 citation statements)

References 11 publications

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“…The ventricles then contract, and the protruded tissue repositions itself inside the cranium. For the herniated cerebellar and occipital parenchyma, an incision is required in the tentorium to establish an infratentorial area for the herniated tissue to retract [7].…”

Section: Discussionmentioning

confidence: 99%

Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

Zahid

Khizar

2021

Egypt J Neurosurg

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Background An encephalocele is a congenital neural tube defect characterized by herniation of cranial contents through a defect in the cranium and is caused by failure of the closure of the cranial part of the developing neural tube. An encephalocele is termed as “giant encephalocele” when the size of encephalocele is larger than the size of the head. They depend on size of the sac, percentage of neural tissue content, hydrocephalus, infection, and other associated pathologies for a favorable neurological outcome. Case presentation We report a case of a four-month-old boy with a giant occipital encephalocele measuring 21 × 15 × 19 cm in size, which was a surgical and anesthetic challenge for us. Intubation was achieved in lateral position. Part of occipital and cerebellar parenchyma was present in the sac and bony defect was approximately 2.5 cm in occipital bone in midline. We performed surgical excision and repair with a good overall outcome. Conclusion Perioperative management of a giant occipital encephalocele is a challenge for both anesthesiologists and neurosurgeons. Managing such a case demands a search for other congenital abnormalities, expertise in handling airway, and proper intraoperative care. Careful planning and perioperative management are essential for a successful outcome.

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Section: Discussionmentioning

confidence: 99%

Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

Zahid

Khizar

2021

Egypt J Neurosurg

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“…Larger size and increased volume of herniated brain tissue confer a worse prognosis [ 10 ]. It is for the reasons of eloquence that the fronthoethmoidal ones are believed to have a better outcome even though less than 5% of infants with encephalocele develop normally [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Encephalocele: A Case Series From Abuja, North Central Nigeria

Ugwuanyi¹,

Ayogu²,

Onobun³

et al. 2022

Cureus

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An encephalocele is a congenital tube defect in which there is an extension of intracranial structures outside the normal confines of the skull. Its presentation at birth provokes a lot of anxiety amongst parents, guardians and care providers with regards to compatibility with life, surgical treatments and effects on developmental milestones and higher mental functions. This report is on our initial experience in the first six months following surgical treatment of four consecutive cases presenting in infancy. The aim of this case series is to report our initial experience of the management of encephaloceles using four consecutive cases that presented in infancy. A review of four infants who presented to our neurosurgery service was conducted including patterns of presentation, neuroimaging findings, scope of surgical intervention and neurological outcome at the six-month review. The results are presented in short case reports and summarized in a table. Two five-month-old females, one six-month-old female and one two-month-old female infants presented to our neurosurgery clinic with progressively increasing encephaloceles at different locations. Brain MRI revealed meningo-encephalocele in all, but with associated hydrocephalus in two cases only. They all had excision and repair of encephalocele under the same general anaesthesia while only two had a ventriculoperitoneal (VP) shunt. Developmental milestones were on course at 6 months follow-up following discharge. Although the presentation of encephaloceles can be frightening to parents and care providers, careful clinical and radiological evaluation is a recipe for sound surgical planning and improved outcome.

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“…For the herniated cerebellar and occipital parenchyma, an incision is made in the tentorium to create an infratentorial area for the herniated tissue to retract. [7] Table 1 CaseNo. Year Age Site Associated Findings Surgery 1 [18] 2002 26 days Occipital No brain tissue in the sac, hydrocephalus Excision; 2 nd surgery; VP shunt 2 [18] 2002 3 months Occipital Hydrocephalus VP shunt; Surgical excision and repair.…”

Section: Discussionmentioning

confidence: 99%

Giant Occipital Encephalocele: A Case Report, Surgical & Anesthetic Challenge

Zahid

Khizar

2021

Preprint

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Background: An encephalocele is a congenital neural tube defect characterized by herniation of cranial contents through a defect in the cranium and is caused by failure of the closure of the cranial part of the developing neural tube. An encephalocele is termed as “giant encephalocele” when the size of encephalocele is larger than the size of the head. They depend on size of the sac, percentage of neural tissue content, hydrocephalus, infection, and other associated pathologies for a favorable neurological outcome.Case Presentation: We report a case of a four month old boy with a Giant Occipital Encephalocele about 21 x 15 x 19 cm in size, who was a surgical and anesthetic challenge for us. Intubation was achieved in lateral position. Part of occipital and cerebellar parenchyma was present in the sac and bony defect was approximately 2.5 cm in occipital bone in midline. We did Surgical Excision and Repair with a good overall outcome.Conclusion: Perioperative management of a Giant Occipital Encephalocele is a challenge for both anesthesiologist and neurosurgeon. Managing such a case demands search for other congenital abnormalities, expertise in handling airway and proper intraoperative care. Careful planning and perioperative management are essential for a successful outcome.

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Occipital Meningoencephalocele case report and review of current literature

Cited by 9 publications

References 11 publications

Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

Encephalocele: A Case Series From Abuja, North Central Nigeria

Giant Occipital Encephalocele: A Case Report, Surgical & Anesthetic Challenge

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Occipital Meningoencephalocele case report and review of current literature

Cited by 9 publications

References 11 publications

Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

Encephalocele: A Case Series From Abuja, North Central Nigeria

Giant Occipital Encephalocele: A Case Report, Surgical &amp; Anesthetic Challenge

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Giant Occipital Encephalocele: A Case Report, Surgical & Anesthetic Challenge