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Clinical Image
3 (
3
); 153-154
doi:
10.25259/WJWCH_47_2024

Giant occipital encephalocele in a neonate undergoing successful neurosurgical intervention

Department of Pediatrics, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
Department of Neonatology, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.

*Corresponding author: R. R. Prashanth, Department of Neonatology, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India. prash2635@gmail.com

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Kumar Deshpande A, Prashanth RR, Bandiya P, Shivanna N. Giant occipital encephalocele in a neonate undergoing successful neurosurgical intervention. Wadia J Women Child Health. 2024;3:153-4. doi: 10.25259/WJWCH_47_2024

A female neonate antenatally diagnosed with occipital encephalocele (OE) at 7 months of gestation was born by lower segment cesarean section at 38 weeks, weighing 3000 g. A large cystic swelling was seen arising from the posterior part of the head measuring 20 × 15 × 20 cm with a rim of transparent tissue, with no evidence of bleed or rupture [Figure 1]. She was hypotonic with a depressed sensorium. Magnetic resonance imaging showed a large OE through a 1.6 cm defect [Figure 2], requiring emergency surgical repair [Figures 3 and 4]. She also required a ventriculoperitoneal shunt secondary to post-surgical communicating hydrocephalus and was successfully discharged.

Large occipital encephalocele with an intact rim of transparent tissue covering it.
Figure 1:
Large occipital encephalocele with an intact rim of transparent tissue covering it.
Magnetic resonance imaging brain showing a large occipital encephalocele through a 1.6 cm defect.
Figure 2:
Magnetic resonance imaging brain showing a large occipital encephalocele through a 1.6 cm defect.
Intraoperative image following removal of dysplastic neural tissue.
Figure 3:
Intraoperative image following removal of dysplastic neural tissue.
Post-operative image with dura mater and skin closed in layers.
Figure 4:
Post-operative image with dura mater and skin closed in layers.

The incidence of encephaloceles is approximately 1–4 cases per 10,000 live births, with OE being the most common.[1] The surgical prognosis depends on the timing of presentation and associated complications such as hydrocephalus and rupture of the sac. Delay leads to increasing difficulty during surgical restoration with hemodynamic instability during the same.[2]

Ethical approval

Institutional Review Board approval is not required.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Use of artificial intelligence (AI)-assisted technology for manuscript preparation

The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.

Financial support and sponsorship: Nil.

References

  1. , , , , . Pattern of encephaloceles: A case series. J Ayub Med Coll Abbottabad. 2008;20:125-8.
    [Google Scholar]
  2. , . Fetal occipital encephalocele: A case report. J Diagn Med Sonogr. 2022;38:264-9.
    [CrossRef] [Google Scholar]

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