Canaz Hüseyin, Ayçiçek Ezgi, Akçetin Mustafa Ali, Akdemir Osman, Alataş Ibrahim, Özdemir Bülent
Spina Bifida Research Center, Florance Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey.
Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey.
Neurocirugia (Astur). 2015 Jan-Feb;26(1):43-7. doi: 10.1016/j.neucir.2014.09.002. Epub 2014 Oct 11.
An encephalocele is a protrusion of the brain and/or meninges through a defect in the skull that is closed or covered with skin. Occipital encephaloceles are the most frequent type in North America and Western Europe, where about 85% of encephaloceles take this form. To the best of our knowledge, there are only three other reported cases of double occipital encephaloceles in the literature. The current study reports a double and both supra- and infra-torcular occipital encephalocele in a neonate and discusses the importance of preoperative neuroimaging studies to optimize the outcome. The patient was a 1-day-old male child who was identified by prenatal ultrasound to have two occipital encephaloceles. The patient underwent a closure of the occipital encephalocele on the second postnatal day. The infant tolerated the procedure well and was extubated on the first postoperative day. The child continues to do well during follow-up.
脑膨出是指脑和/或脑膜通过颅骨缺损处突出，该缺损处被皮肤封闭或覆盖。枕部脑膨出在北美和西欧最为常见，约85%的脑膨出为此种类型。据我们所知，文献中仅另有3例双侧枕部脑膨出的报道。本研究报告了1例新生儿双侧枕部且横跨窦汇上下的脑膨出病例，并讨论了术前神经影像学检查对优化治疗结果的重要性。该患者为1日龄男婴，产前超声检查发现有两个枕部脑膨出。患儿于出生后第2天接受了枕部脑膨出修补术。婴儿对手术耐受良好，术后第1天拔除气管插管。患儿在随访期间情况良好。
