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A giant occipital encephalocele in neonate with spontaneous hemorrhage into the encephalocele sac: Surgical management
Author(s) -
Guru Dutta Satyarthee,
Luís Rafael Moscote-Salazar,
Nidia Escobar-Hernandez,
Jorge Aquino-Matus,
Paulo Cesar Puac-Polanco,
Samer S. Hoz,
Willem Guillermo Calderón-Miranda
Publication year - 2017
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/jpn.jpn_6_17
Subject(s) - encephalocele , medicine , bleed , occipital bone , radiology , surgery , anatomy , skull
The presence of giant occipital encephalocele represents a surgical challenge. However, preoperative magnetic resonance imaging with venography can help in delineating relation of venous sinus, content of the sac and help classify occipital encephalocele into infra-torcular and torcular depending on the relation with position of torcula. However, the presence of old hemorrhage into encephalocele sac is extremely rare and in the detailed PubMed search, the authors could find one such case, reported by Nath et al . The author reports a case of giant occipital encephalocele; during surgery, evidence of old bleed was noted. Pertinent literature and management are reviewed briefly.

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