The cephaloceles: A clinical, epidemiological and therapeutic study of 50 cases

Kabré, A; Zabsonre, Denléwendé Sylvain; Sanou, A.; Bako, Y. P.

doi:10.1016/j.neuchi.2015.03.011

Cited by 28 publications

(23 citation statements)

References 7 publications

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“…In a previous study, encephaloceles were classified according to their contents into meningoceles, meningoencephaloceles, and pure encephaloceles. 9,10 In rare instances, the fourth ventricular roof may be deficient, so the fourth ventricle communicates with the hernia, constituting a typical ventriculocele. 11 Encephaloceles can be of various sizes and occur at different sites.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Secondary Hydrocephalus after Excision of Huge Encephaloceles in Neonates: Case Study

Refaee

Refaat

Reda

2017

J Neurol Surg A Cent Eur Neurosurg

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Section: Discussionmentioning

confidence: 99%

Incidence of Secondary Hydrocephalus after Excision of Huge Encephaloceles in Neonates: Case Study

Refaee

Refaat

Reda

2017

J Neurol Surg A Cent Eur Neurosurg

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“…In human medicine, diagnosis is made from apparent facial deformities, and treatment is often surgical, with the use of preoperative imaging consisting of both computed tomography and MRI. Successful surgery is dependent on careful separation of the skin from the herniated brain tissue, removal of the sac with preservation of as much neural tissue as possible, adequate sealing of the dura layer, and skin closure with acceptable cosmetic outcome . With the advancement of exciting new surgical and imaging techniques, some NTD are now corrected in utero in man.…”

Section: Discussionmentioning

confidence: 99%

“…Successful surgery is dependent on careful separation of the skin from the herniated brain tissue, removal of the sac with preservation of as much neural tissue as possible, adequate sealing of the dura layer, and skin closure with acceptable cosmetic outcome. 2,15 With the advancement of exciting new surgical and imaging techniques, some NTD are now corrected in utero in man. Prognosis is usually determined by location, contents and size of the hernia, and existing intracranial anomalies.…”

Section: Discussionmentioning

confidence: 99%

Surgical correction of a meningoencephalocele in a thoroughbred filly

Buck

Hunt

2019

Veterinary Surgery

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Objective To describe the surgical correction of a closed meningoencephalocele in a thoroughbred filly. Study design Case report. Animal One thoroughbred filly, 1.5 months old at the time of surgery. Methods A meningoencephalocele was identified at birth and diagnosed with radiography and MRI. The abnormal tissue was excised and submitted for histopathology, the dura was closed, and the defect in the skull was corrected with a titanium mesh. Results Histopathology confirmed the presence of neural parenchyma consisting of neurons and glial cells. The filly remained without neurologic deficits 7 months after surgery. Conclusion Surgical correction of a meningoencephalocele was performed and considered successful, with no long‐term neurologic deficits postoperatively. Clinical significance Given the paucity of neural tube defect cases in the equine population, no surgical corrective techniques have been reported in the literature. This Case Report describes the first successful surgical treatment of a meningoencephalocele in a horse.

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“…A cephalocele consists of a herniation of meningeal and/or neuroglial tissue through a congenital cranial defect. Clinically, it presents as a round, soft, skin‐covered mass with either a solid or a cystic appearance, usually located in the nasal, frontal, parietal, or occipital midline or in the temporal area . It is often associated with an HCS or HTS and may change in size or tension according to the variations of intracranial pressure .…”

Section: Developmental Anomaliesmentioning

confidence: 99%

“…In any case, even if HFUS can confirm the diagnosis of cephalocele or atretic cephalocele, MRI must be obtained, as they have both been associated with intracranial anomalies …”

Section: Developmental Anomaliesmentioning

confidence: 99%

Cutaneous ultrasound and its utility in Pediatric Dermatology: Part II—Developmental anomalies and vascular lesions

Bandera

Sebaratnam

Feito-Rodríguez

et al. 2019

Pediatric Dermatology

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In the first article in this series, we reviewed cutaneous ultrasound and its benefits and limitations as a noninvasive diagnostic tool in the pediatric setting. The sonographic findings of lumps and bumps and inflammatory conditions were discussed. In this second article, we review ultrasonographic findings of developmental anomalies and vascular lesions. | DE VELOPMENTAL ANOMALIE S | Cutaneous markers of dysraphismWell-recognized cutaneous markers of cranial dysraphism include the hair collar sign (HCS) (Figure 1), congenital hair tuft of the scalp (HTS), 1 large areas of aplasia cutis congenita (> 5 cm) 2 (Figure 2), and midline dermoid cyst. When these findings are present, a cerebral magnetic resonance imaging (MRI) is indicated. 1,3 Similarly, in the lumbosacral area, lipoma, infantile hemangioma greater than 2.5 cm (Figure 3), dermoid cyst or dermal sinus, aplasia cutis, acrochordon, and pseudotail or true tail are considered high-risk cutaneous markers of occult spinal dysraphism, and MRI is mandatory. For intermediate-risk cutaneous markers of spinal dysraphism such as atypical dimple, infantile hemangioma smaller than 2.5 cm, and hypertrichosis, ultrasonography is recommended in patients younger than 6 months and MRI in older patients. 3 High-frequency ultrasongraphy (HFUS) might be a helpful adjunct when approaching cutaneous markers of dysraphism, allowing assessment during the first visit, avoiding sedation and diagnostic delay, and helping to triage the urgency of further management. It can identify a range of pathologies including bone defects (Figure 2), cephaloceles, 4 atretic cephaloceles, 5,6 brain tissue heterotopia, sinus pericranii (Figure 2), as well as dermoid cysts, and their potential extension to underlying intracranial structures (Figure 3).There are few descriptions of the sonographic appearance of aplasia cutis congenita. It appears as a focal thinning of the dermis and, sometimes, of the subcutis. 7 When involving the underlying bone (20%-30% of the cases), 8 a discontinuation of the hyperechoic thick line representing the skull is detected (Figure 2). We have observed increased echogenicity in the upper part of the hypodermis immediately underlying the defect, possibly subsequent to a cicatricial process (Figure 1). Bullous aplasia cutis shows a superficial anechoic area, with a convex thin roof. | Dysraphisms and sinus pericraniiA cephalocele consists of a herniation of meningeal and/or neuroglial tissue through a congenital cranial defect. Clinically, it Abstract High-frequency ultrasonography represents a promising tool for pediatric dermatologists. It is a noninvasive and harmless diagnostic technique that is especially appealing when working with children. It can be easily performed at the patient's bedside, avoiding diagnostic delays, sedation, or multiple visits. It represents a useful adjunct to clinical examination and aids our understanding of cutaneous pathology. In this second part, we describe the ultrasonographic findings of developmental anomalies and vascular lesion...

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The cephaloceles: A clinical, epidemiological and therapeutic study of 50 cases

Cited by 28 publications

References 7 publications

Incidence of Secondary Hydrocephalus after Excision of Huge Encephaloceles in Neonates: Case Study

Incidence of Secondary Hydrocephalus after Excision of Huge Encephaloceles in Neonates: Case Study

Surgical correction of a meningoencephalocele in a thoroughbred filly

Cutaneous ultrasound and its utility in Pediatric Dermatology: Part II—Developmental anomalies and vascular lesions

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