Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Child's Nervous System
Published in: Child's Nervous System 2/2017

01-02-2017 | Case Report

Tadpole-shaped lateralized parietal atretic cephalocele associated with an ipsilateral lacrimal gland fistula and schizencephalic clefts

Published in: Child's Nervous System | Issue 2/2017

Login to get access

Abstract

Background

Parietal atretic cephalocele (AC) and its associated intracranial venous anomalies, such as vertical embryonic positioning of the straight sinus (VEP of SS), have, in previous reports, been exclusively restricted to the midline.

Clinical presentation

We report a patient with lateralized parietal AC on the right side. The AC was in the shape of a tadpole, with a large head and a long tail, extending to the proximity of the right external canthus, where a lacrimal gland fistula was observed. The superior sagittal sinus and VEP of SS were also displaced to the right side, although the sagittal suture was located at the midline. Schizencephalic clefts in the right posterior cortex were also observed.

Conclusion

The parietal AC, which was initially located in the midline, could conceivably have been displaced to the right side by other developmental processes. However, the relationship between lateralized AC and associated multiple anomalies on the ipsilateral side is difficult to explain monogenetically. Our case study indicates that AC might have a broader spectrum of clinical symptoms than was once thought to be the case.
Literature
1.
Brunelle F, Baraton J, Renier D, Teillac D, Simon I, Sonigo P, Hertz-Pannier L, Emond S, Boddaert N, Chigot V, Lellouch-Tubiana A (2000) Intracranial venous anomalies associated with atretic cephaloceles. Pediatr Radiol 30:743–747CrossRefPubMed
2.
3.
MK Demir, A Colak, MS Eksi, EE Ozcan-Eksi, A Akakin, B Yilmaz (2016) Atretic cephaloceles: a comprehensive analysis of historical cohort. Childs Nerv Syst. 2016 Jul 26
4.
5.
Gao Z, Massimi L, Rogerio S, Raybaud C, Di Rocco C (2014) Vertex cephaloceles: a review. Childs Nerv Syst 30:65–72CrossRefPubMed
6.
Jockin YJ, Katowitz JA, Fries PD, Hertle RW (2002) Congenital craniofacial deformities: ophthalmic considerations. In: Katowitz JA (ed) Pediatric oculoplastic surgery. Springer, New York, pp. 533–558CrossRef
7.
Leykamm S, Wessling B, Muhlenbruch G (2013) Atretic cephalocele and associated anomalies in a newborn child. Clin Neuroradiol 23:37–40CrossRefPubMed
8.
Martinez-Lage JF, Sola J, Casas C, Poza M, Almagro MJ, Girona DG (1992) Atretic cephalocele: the tip of the iceberg. J Neurosurg 77:230–235CrossRefPubMed
9.
Morioka T, Hashiguchi K, Samura K, Yoshida F, Miyagi Y, Yoshiura T, Suzuki SO, Sasaki T (2009) Detailed anatomy of intracranial venous anomalies associated with atretic parietal cephaloceles revealed by high-resolution 3D-CISS and high-field T2-weighted reversed MR images. Childs Nerv Syst 25:309–315CrossRefPubMed
10.
Murakami N, Morioka T, Kawamura N, Suzuki SO, Kira R (2016) Venous anomaly analogous to vertical embryonic positioning of the straight sinus associated with atretic cephalocele at the suboccipital region. Childs Nerv Syst. 2016 Jun 4
11.
Nagata Y, Takeuchi K, Kato M, Chu J, Wakabayashi T (2016) Lateral temporal encephaloceles: case-based review. Childs Nerv Syst 32:1025–1031CrossRefPubMed
12.
Patterson RJ, Egelhoff JC, Crone KR, Ball WS Jr (1998) Atretic parietal cephaloceles revisited: an enlarging clinical and imaging spectrum? AJNR Am J Neuroradiol 19:791–795
13.
Saatci I, Yelgec S, Aydin K, Akalan N (1998) An atretic parietal cephalocele associated with multiple intracranial and eye anomalies. Neuroradiology 40:812–815CrossRefPubMed
14.
Tubbs RS, Hogan E, Deep A, Mortazavi MM, Loukas M, Oakes WJ (2011) Lateral cephaloceles: case-based update. Childs Nerv Syst 27:345–347CrossRefPubMed
15.
Yamazaki T, Enomoto T, Iguchi M, Nose T (2001) Atretic cephalocele—report of two cases with special reference to embryology. Childs Nerv Syst 17:674–678CrossRefPubMed
16.
Yokota A, Kajiwara H, Kohchi M, Fuwa I, Wada H (1988) Parietal cephalocele: clinical importance of its atretic form and associated malformations. J Neurosurg 69:545–551CrossRefPubMed
Metadata
Title
Tadpole-shaped lateralized parietal atretic cephalocele associated with an ipsilateral lacrimal gland fistula and schizencephalic clefts
Publication date
01-02-2017
Published in
Child's Nervous System / Issue 2/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3254-4

Other articles of this Issue 2/2017

Child's Nervous System 2/2017 Go to the issue

Original Paper

The relationship between the level of lesion and progression in Reimer’s index of spina bifida patients

Original Paper

Operative planning aid for optimal endoscopic third ventriculostomy entry points in pediatric cases

Original Paper

Positional plagiocephaly following ventriculoperitoneal shunting in neonates and infancy—how serious is it?

Original Paper

Intra and inter-observer reliability of determining degree of pelvic obliquity in neuromuscular scoliosis using the EOS-CHAIR® protocol

Letter to the Editor

Paediatric spinal cord infarction—a review of the literature and two case reports

Letter to the Editor

Persistent shunt dependency and very late shunt failure in a 3-year-old boy with idiopathic intracranial hypertension (IIH)