Journal article
Surgical resection of large encephalocele: a report of two cases and consideration of resectability based on developmental morphology
Child's nervous system, Vol.33(3), pp.541-545
03/2017
DOI: 10.1007/s00381-016-3290-0
PMID: 27822763
Abstract
The first-line treatment of encephalocele is reduction of herniated structures. Large irreducible encephalocele entails resection of the lesion. In such case, it is essential to ascertain preoperatively if the herniated structure encloses critical venous drainage.
Two cases of encephalocele presenting with large occipital mass underwent magnetic resonance (MR) imaging. In first case, the skin mass enclosed the broad space containing cerebrospinal fluid and a part of occipital lobe and cerebellum. The second case had occipital mass harboring a large portion of cerebrum enclosing dilated ventricular space. Both cases had common venous anomalies such as split superior sagittal sinus and high-positioned torcular herophili. They underwent resection of encephalocele without subsequent venous congestion. We could explain the pattern of venous anomalies in encephalocele based on normal developmental theory.
Developmental theory connotes that major dural sinuses cannot herniate into the sac of encephalocele. Irrespective to its size, encephalocele can be resected safely at the neck without subsequent venous congestion.
Details
- Title: Subtitle
- Surgical resection of large encephalocele: a report of two cases and consideration of resectability based on developmental morphology
- Creators
- Hideo Ohba - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3, Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8551, Japan. m.d.hideoohba1208@gmail.comSatoshi Yamaguchi - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3, Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8551, JapanTakashi Sadatomo - Department of Neurosurgery, National Hospital Organization Higashihiroshima Medical Center, 513, Jike, Saijo-cho, Higashihiroshima, Hiroshima, 739-0041, JapanMasaaki Takeda - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3, Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8551, JapanManish Kolakshyapati - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3, Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8551, JapanKaoru Kurisu - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3, Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8551, Japan
- Resource Type
- Journal article
- Publication Details
- Child's nervous system, Vol.33(3), pp.541-545
- Publisher
- Germany
- DOI
- 10.1007/s00381-016-3290-0
- PMID
- 27822763
- ISSN
- 0256-7040
- eISSN
- 1433-0350
- Language
- English
- Date published
- 03/2017
- Academic Unit
- Neurosurgery
- Record Identifier
- 9984040344102771
Metrics
27 Record Views