| Giant encephalocele: a study of 14 patients. | |
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MedLine Citation:
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PMID: 22776867 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Giant encephalocele is a rare condition and few published reports are available in the English literature. It is a challenge to neurosurgeons, even today. This series consists of 14 patients with giant encephaloceles treated at our institute. MATERIAL AND OBSERVATION: Over a period of 8 years, from 2002 to 2009, 110 patients with encephaloceles were managed at our institute. Amongst them, 14 were children with giant encephaloceles. All patients had CT/MRI or both prior to surgery, and all were operated upon. Four patients were neonates, under 1 month of age, and 9/14 patients (64%) were under 3 months. The youngest child was a newborn baby aged 2 days. Except for 1 with an anterior encephalocele, the rest were patients with occipital encephaloceles. A CT scan was performed on 5 and an MRI on 1 patient. Both CT and MRI scans were performed on the other 8 patients. MRI/CT showed hydrocephalus in 10/14 patients. Of these, 7 required ventriculoperitoneal (VP) shunt, and the remaining 3 with mild to moderate hydrocephalus did not. Of the 7 patients who underwent VP shunt, 5 had a shunt during the encephalocele repair and 2 had a postoperative shunt for increasing hydrocephalus. RESULTS: Other associated anomalies recorded were acquired Chiari malformation in 3 patients, secondary craniostenosis with microcephaly in 5, and syringomyelia in 1 patient. All the patients underwent repair of encephalocele and 4 had suturectomy of coronal suture for the secondary craniostenosis. There were 2 postoperative deaths due to hypothermia. Among the 12 surviving patients, 9 had a good outcome and 3 had poor mental development. The present study shows overall good outcomes in 9/14 (66%) patients. |
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Authors:
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A K Mahapatra |
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Publication Detail:
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Type: Journal Article Date: 2012-07-07 |
Journal Detail:
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Title: Pediatric neurosurgery Volume: 47 ISSN: 1423-0305 ISO Abbreviation: Pediatr Neurosurg Publication Date: 2011 |
Date Detail:
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Created Date: 2012-07-31 Completed Date: 2012-12-10 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 9114967 Medline TA: Pediatr Neurosurg Country: Switzerland |
Other Details:
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Languages: eng Pagination: 406-11 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 S. Karger AG, Basel. |
Affiliation:
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Department of Neurosurgery, AIIMS, New Delhi, India. akmahapatra_22000@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Craniosynostoses / pathology, surgery Encephalocele / pathology*, surgery* Female Humans Hydrocephalus / pathology, surgery Infant Infant, Newborn Magnetic Resonance Imaging Male Microcephaly / pathology, surgery Neurosurgical Procedures* Retrospective Studies Severity of Illness Index* Syringomyelia / pathology, surgery Tomography, X-Ray Computed Treatment Outcome Ventriculoperitoneal Shunt |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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