Van Geertruyden J P, Fourez T J, Hansen P, Heimann P E, Brion J P
Department of Plastic Surgery, Children's University Hospital Reine Fabiola, Brussels, Belgium.
Br J Plast Surg. 1995 Jul;48(5):332-4. doi: 10.1016/0007-1226(95)90074-8.
A posterior midline cutaneous lesion in the scalp of a 15-month-old child was excised. Clinical examination, extensive investigations and finally surgery revealed no intracranial connection. Histologically, the lesion was composed of well differentiated meningeal, glial and cerebral tissues, establishing it to be heterotopic brain tissue. Even when all preoperative procedures exclude the diagnosis of cephaloceles, surgeons should keep in mind the possibility of an intracranial connection of any midline scalp lesion in a child and the subsequent risk of meningitis.
一名15个月大儿童头皮的后正中皮肤病变被切除。临床检查、广泛的检查以及最终的手术均未发现颅内连接。组织学检查显示，该病变由分化良好的脑膜、神经胶质和脑组织组成，确定其为异位脑组织。即使所有术前检查排除了脑膨出的诊断，外科医生也应牢记儿童任何中线头皮病变存在颅内连接的可能性以及随后发生脑膜炎的风险。
