Top

Child's Nervous System

Published in:

01-09-2006 | Technical Note

Expansile cranioplasty for massive occipital encephalocele

Authors: Aaron Mohanty, Arundhati Biswas, Madhusudan Reddy, Sastry Kolluri

Published in: Child's Nervous System | Issue 9/2006

Abstract

Objective

This report highlights the management of infrequently encountered massive occipital encephaloceles with herniation of large amount of apparently functional cortex into the encephalocele sac.

Materials and methods

Two children with giant occipital encephaloceles with herniation of significant brain parenchyma into the encephalocele sac were managed with expansile cranioplasty and reconstruction of the calvarial defect with autologus bone graft harvested from the adjacent parietal region.

Conclusions

Giant occipital encephaloceles with significant brain parenchyma in the encephalocele sac can be considered for preservation of the herniated parenchyma and expansile cranioplasty.

Blum KS, Schneider SJ, Rosenthal AD (1997) Methyl methacrylate cranioplasty in children: long term results. Pediatr Neurosurg 26:33–35PubMedCrossRef

Bozinov O, Tirakotai W, Sure U, Bertalanffy H (2005) Surgical closure and reconstruction of a large occipital encephalocele without parenchymal expansion. Childs Nerv Syst 21:144–147CrossRefPubMed

Edwards MB, Ousterhout DK (1987) Autogenic skull bone grafts to reconstruct large or complex skull defects in children and adolescents. Neurosurgery 20:273–280PubMedCrossRef

Gallo AE (1992) Repair of giant occipital encephaloceles with microcephaly secondary to massive brain herniation. Childs Nerv Syst 8:229–230CrossRefPubMed

Guthkelch AN (1970) Occipital cranium bifidum. Arch Dis Child 45:104–110PubMedCrossRef

Guyron B, Shafron M, Columbi B (1988) Management of extensive and difficult cranial defects. J Neurosurg 69:210–212PubMed

Hamon WM, Kempe LG (1971) Methyl methacrylate cranioplasty: 13 years experience with 417 patients. Acta Neurochir (Wien) 25:69–77CrossRef

Hoffman H (1992) Comments to the article by Gallo AE. Childs Nerv Syst 8:229–230CrossRefPubMed

Moss SD, Joganic E, Manwaring KH, Beals SP (1995) Transplanted demineralized bone graft in cranial reconstructive surgery. Pediatr Neurosurg 23:199–205PubMedCrossRef

10.

Oi S, Saito M, Tamaki N, Matsumoto S (1994) Ventricular volume reduction technique—a new surgical concept for the intracranial transposition of encephalocele. Neurosurgery 34:443–448PubMedCrossRef

11.

Posnik JC, Goldstein JA, Armstrong D, Rutka JT (1993) Neurosurgery 32:785–791PubMedCrossRef

12.

Rish BL, Dillon JD, Meirowsky AM, Caveness WF, Mohr JP, Kistler JP, Weiss GH (1979) Cranioplasty: a review of 1,030 cases of penetrating head injury. Neurosurgery 4:381–385PubMedCrossRef

13.

Shokunbi T, Adeloye A, Olumid A (1990) Occipitals encephaloceles in 57 Nigerian children: a retrospective analysis. Childs Nerv Syst 6:99–102CrossRefPubMed

14.

Steinbok P (2000) Repair of a congenital cranial defect in a new born with autologus calvarial bone. Childs Nerv Syst 16:247–250CrossRefPubMed

15.

Suwanwela C, Suwanwela N (1972) A morphological classification of sincipital encephalomeningocele. J Neurosurg 36:201–221PubMedCrossRef

16.

Taggard DA, Menezes AH (2001) Successful use of rib grafts for cranioplasty in children. Pediatr Neurosurg 34:149–155CrossRefPubMed

Title: Expansile cranioplasty for massive occipital encephalocele
Authors: Aaron Mohanty
Arundhati Biswas
Madhusudan Reddy
Sastry Kolluri
Publication date: 01-09-2006
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 9/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-006-0110-y

At a glance: The STEP trials

Springer Medicine

Expansile cranioplasty for massive occipital encephalocele

Abstract

Objective

Materials and methods

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Materials and methods

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2006

Supratentorial cystic hemangioblastoma with infratentorial extension—a unique location and a rare infant case

Etiological differences between the isolated lateral ventricle and the isolated fourth ventricle

Diffuse and focal brain stem tumors in childhood: prognostic factors and surgical outcome

The incidence, timing, and predisposing factors of germinal matrix and intraventricular hemorrhage (GMH/IVH) in preterm neonates

Metachronous secondary atypical meningioma and anaplastic astrocytoma after postoperative craniospinal irradiation for medulloblastoma

Vagus nerve stimulation in children less than 5 years old