Document Detail


Giant encephalocele: a study of 14 patients.
MedLine Citation:
PMID:  22776867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A K Mahapatra
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Publication Detail:
Type:  Journal Article     Date:  2012-07-07
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  47     ISSN:  1423-0305     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:  2011  
Date Detail:
Created Date:  2012-07-31     Completed Date:  2012-12-10     Revised Date:  2013-07-15    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  406-11     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 S. Karger AG, Basel.
Affiliation:
Department of Neurosurgery, AIIMS, New Delhi, India. akmahapatra_22000@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
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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