Summary
Forty-two patients with 44 cephaloceles treated between 1966 and 1993 are presented. Eighteen lesions were occipital, 2 parietal, 1 at the anterior fontanelle, 11 sincipital, and 12 basal. In recent years computerized tomography (CT) and magnetic resonance imaging (MRI) provided better information on the site and nature of the lesion as well as on associated malformations. Different malformations were associated more frequently with the cranial vault lesions. Cerebrospinal fluid (CSF)-rhinorrhea was the most frequent clinical sign in the basal lesions. Excision of the cele was performed in all but one case. The age at the time of surgical treatment ranged from 1 day to 11 years. Seven patients were shunted. Postoperative complications were persisting CSF-leaks in 5 patients needing operative revision and 2 infections. The outcome was good in the anterior lesions and in the occipital meningoceles.
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References
Date I, Yasunori Y, Asari S, Ohmoto T (1993) Long-term outcome in surgically treated encephalocele. Surg Neurol 40: 125–130
Hockley AD, Goldin JH, Wake MJC (1990) Management of anterior encephalocele. Childs Nerv Syst 6: 444–446
Hoving EW (1993) Frontoethmoidal encephaloceles. A study of their pathogenesis. Thesis, University of Groningen
Lorber J, Schofield JK (1979) The prognosis of occipital encephalocele. Z Kinderchir 28: 347–351
Marin-Padilla M (1991) Cephalic axial skeletal-neural dysraphic disorders: embryology and pathology. Can J Neurol Sci 18: 153–169
Matson DD (1969) Neurosurgery of infancy and childhood. Thomas, Springfield
McLaurin RL (1987) Encephalocele and cranium bifidum. Handbook Clin Neurol 6: 97–111
Mealey J, Dzenitis AJ, Hockey AA (1970) The prognosis of encephaloceles. J Neurosurg 32: 209–218
Moore MH, Lodge ML, David DJ (1993) Basal encephalocele: imaging and exposing the hernia. Br J Plast Surg 46: 497–502
Naidich TP, Altman NR, Braffman BH, McLone DG, Zimmerman RA (1992) Cephaloceles and related malformations. AJNR 13: 655–690
Naidich TP, McLone DG, Bauer BS, Kernahan DA, Zaparackas ZG (1983) Midline craniofacial dysraphism. Concept Pediatr Neurosurg 4: 186–207
Padget DH (1970) Neuroschisis and human embryonic maldevelopment: new evidence on anencephaly, spina bifida and diverse mammalian defects. J Neuropath Exp Neurol 29: 192–216
Rapport RL, Dunn RC, Alhady F (1981) Anterior encephalocele. J Neurosurg 54: 213–219
Simpson DA, David DJ, White J (1984) Cephaloceles: treatment, outcome and antenatal diagnosis. Neurosurgery 15: 14–21
Suwanwela C, Suwanwela N (1972) A morphological classification of sincipital encephalomeningoceles. J Neurosurg 36: 201
Yokota A, Matsukado Y, Fuwa I, Moroki K, Nagahiro S (1986) Anterior basal encephalocele of the neonatal and infantile period. Neurosurgery 19: 468–478
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Czech, T., Reinprecht, A., Matula, C. et al. Cephaloceles — Experience with 42 patients. Acta neurochir 134, 125–129 (1995). https://doi.org/10.1007/BF01417678
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DOI: https://doi.org/10.1007/BF01417678