Khizar Ahtesham, Zahid Hassaan, Khan Manal, Farooq Abdul Rahim, Natt Muhammad Aqeel
Ahtesham Khizar, MBBS, FCPS (Neurosurgery), Department of Neurosurgery Unit-I, Punjab Institute of Neurosciences, Lahore, Pakistan.
Hassaan Zahid, MBBS, FCPS (Neurosurgery), MS (Pediatric Neurosurgery), Department of Neurosurgery Unit-I, Punjab Institute of Neurosciences, Lahore, Pakistan.
Pak J Med Sci. 2024 Dec;40(12PINS Suppl):S80-S86. doi: 10.12669/pjms.40.12(PINS).10964.
Encephalocele is a congenital neural tube defect (NTD). The pathophysiology of the NTDs is exceedingly complex. Numerous explanations have been proposed to explain it. Double encephaloceles are highly unusual. There have only been fifteen previously reported cases of double encephalocele in the medical literature, with this index case being the oldest and first from Pakistan. A four-year-old girl presented with two occipital scalp swellings from infancy. The occipital swelling measured about 7x5x3 cm, while the suboccipital swelling measured about 7x9x5 cm. The skin over both the swellings was intact. Following a thorough history, physical examination, and radiological investigations, surgical excision and repair was performed. Postoperative recovery was uneventful. She did not develop hydrocephalus until the three month follow-up.Double encephalocele is a rare entity. The multisite closure theory appears to be the most plausible explanation for the development of multiple NTDs. The management of double encephalocele requires a case based approach.
脑膨出是一种先天性神经管缺陷（NTD）。NTD的病理生理学极其复杂。人们提出了许多解释。双脑膨出非常罕见。医学文献中此前仅报道过15例双脑膨出病例，本索引病例是年龄最大且首例来自巴基斯坦的。一名4岁女孩自婴儿期起就出现两个枕部头皮肿胀。枕部肿胀大小约为7×5×3厘米，而枕下肿胀大小约为7×9×5厘米。两个肿胀部位的皮肤均完整。经过全面的病史询问、体格检查和影像学检查后，进行了手术切除和修复。术后恢复顺利。直到三个月随访时她才出现脑积水。双脑膨出是一种罕见的病症。多部位闭合理论似乎是多个NTD发生的最合理的解释。双脑膨出的治疗需要基于病例的方法。
