Kokidko Yekaterina, Ranalli Nathan, Shah Chetan
Pediatrics, University of Florida College of Medicine, Jacksonville, USA.
Pediatric Neurosurgery, University of Florida College of Medicine, Jacksonville, USA.
Cureus. 2021 Jun 29;13(6):e16019. doi: 10.7759/cureus.16019. eCollection 2021 Jun.
We present a case of a newborn with a fenestrated superior sagittal sinus and persistent falcine sinus with a parietal encephalocele. The patient was born full-term without any associated pregnancy complications other than meconium-stained amniotic fluid at delivery. Following delivery, MRI brain demonstrated midline parietal encephalocele, persistent falcine sinus, fenestration of the superior sagittal sinus at the level of the encephalocele, subependymal heterotopia, and thick tectum. The patient underwent resection and repair on day 2 of life. MRI performed at 15 weeks of life showed a mild increase in the size of lateral ventricles. The patient did not require a ventriculoperitoneal shunt. This is a novel case that provides a valuable contribution to the existing body of literature about congenital encephalocele associated with persistent falcine sinus, fenestrated superior sagittal sinus, subependymal heterotopia, and thick tectum.
我们报告一例患有上矢状窦开窗及持续大脑镰窦伴顶叶脑膨出的新生儿病例。该患者足月出生，除分娩时羊水粪染外无任何相关妊娠并发症。分娩后，脑部磁共振成像（MRI）显示中线顶叶脑膨出、持续大脑镰窦、脑膨出水平处的上矢状窦开窗、室管膜下异位及增厚的中脑顶盖。该患者在出生第2天接受了切除和修复手术。出生15周时进行的MRI显示侧脑室大小轻度增加。该患者无需脑室腹腔分流术。这是一个新颖的病例，为现有关于与持续大脑镰窦、上矢状窦开窗、室管膜下异位及增厚中脑顶盖相关的先天性脑膨出的文献做出了有价值的贡献。
