| Repair of giant occipital encephaloceles with microcephaly secondary to massive brain herniation. | |
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MedLine Citation:
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PMID: 1394258 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Giant occipital encephaloceles rarely contain large amounts of neural tissue that cannot be replaced in the abnormally small calvarium. Resection of neural elements is therefore often necessary in order to accomplish a closure. A technique is described wherein an extracranial compartment is prepared utilizing fine tantalum mesh to enclose the neural contents. The mesh is attached to the periphery of the skull defect providing a rigid extracranial compartment for the encephalocele. As intracranial pressure increases, the calvarium is forced to expand. The tantalum mesh is gradually imbricated into the calvarium by daily digital compression. If ventriculomegaly occurs, an interval ventriculoperitoneal shunt is placed. The encephalocele repair is reopened and the tantalum is surgically imbricated at that time. This allows for a satisfactory cosmetic result with preservation of all neural elements. |
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Authors:
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A E Gallo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 8 ISSN: 0256-7040 ISO Abbreviation: Childs Nerv Syst Publication Date: 1992 Jun |
Date Detail:
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Created Date: 1992-11-23 Completed Date: 1992-11-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: GERMANY |
Other Details:
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Languages: eng Pagination: 229-30 Citation Subset: IM |
Affiliation:
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Division of Neurosurgery, Oregon Health Sciences University, Portland 97201-3098. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Encephalocele
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complications*,
surgery* Humans Infant Microcephaly / etiology* Neurosurgery / instrumentation, methods* Occipital Bone* Reoperation Surgical Flaps |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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