Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

Abstract Background An encephalocele is a congenital neural tube defect characterized by herniation of cranial contents through a defect in the cranium and is caused by failure of the closure of the cranial part of the developing neural tube. An encephalocele is termed as “giant encephalocele” when...

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Autores principales:	Soha Zahid, Ahtesham Khizar
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Giant Encephalocele Meningoencephalocele Neural tube defect Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/b05eb5df4c5e4b9d9bfeaa68bee2503d
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spelling	oai:doaj.org-article:b05eb5df4c5e4b9d9bfeaa68bee2503d2021-11-28T12:27:19ZGiant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature10.1186/s41984-021-00136-82520-8225https://doaj.org/article/b05eb5df4c5e4b9d9bfeaa68bee2503d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s41984-021-00136-8https://doaj.org/toc/2520-8225Abstract Background An encephalocele is a congenital neural tube defect characterized by herniation of cranial contents through a defect in the cranium and is caused by failure of the closure of the cranial part of the developing neural tube. An encephalocele is termed as “giant encephalocele” when the size of encephalocele is larger than the size of the head. They depend on size of the sac, percentage of neural tissue content, hydrocephalus, infection, and other associated pathologies for a favorable neurological outcome. Case presentation We report a case of a four-month-old boy with a giant occipital encephalocele measuring 21 × 15 × 19 cm in size, which was a surgical and anesthetic challenge for us. Intubation was achieved in lateral position. Part of occipital and cerebellar parenchyma was present in the sac and bony defect was approximately 2.5 cm in occipital bone in midline. We performed surgical excision and repair with a good overall outcome. Conclusion Perioperative management of a giant occipital encephalocele is a challenge for both anesthesiologists and neurosurgeons. Managing such a case demands a search for other congenital abnormalities, expertise in handling airway, and proper intraoperative care. Careful planning and perioperative management are essential for a successful outcome.Soha ZahidAhtesham KhizarSpringerOpenarticleGiantEncephaloceleMeningoencephaloceleNeural tube defectSurgeryRD1-811Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENEgyptian Journal of Neurosurgery, Vol 36, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Giant Encephalocele Meningoencephalocele Neural tube defect Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Giant Encephalocele Meningoencephalocele Neural tube defect Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Soha Zahid Ahtesham Khizar Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature
description	Abstract Background An encephalocele is a congenital neural tube defect characterized by herniation of cranial contents through a defect in the cranium and is caused by failure of the closure of the cranial part of the developing neural tube. An encephalocele is termed as “giant encephalocele” when the size of encephalocele is larger than the size of the head. They depend on size of the sac, percentage of neural tissue content, hydrocephalus, infection, and other associated pathologies for a favorable neurological outcome. Case presentation We report a case of a four-month-old boy with a giant occipital encephalocele measuring 21 × 15 × 19 cm in size, which was a surgical and anesthetic challenge for us. Intubation was achieved in lateral position. Part of occipital and cerebellar parenchyma was present in the sac and bony defect was approximately 2.5 cm in occipital bone in midline. We performed surgical excision and repair with a good overall outcome. Conclusion Perioperative management of a giant occipital encephalocele is a challenge for both anesthesiologists and neurosurgeons. Managing such a case demands a search for other congenital abnormalities, expertise in handling airway, and proper intraoperative care. Careful planning and perioperative management are essential for a successful outcome.
format	article
author	Soha Zahid Ahtesham Khizar
author_facet	Soha Zahid Ahtesham Khizar
author_sort	Soha Zahid
title	Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature
title_short	Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature
title_full	Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature
title_fullStr	Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature
title_full_unstemmed	Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature
title_sort	giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/b05eb5df4c5e4b9d9bfeaa68bee2503d
work_keys_str_mv	AT sohazahid giantoccipitalencephaloceleacasereportsurgicalandanestheticchallengeandreviewofliterature AT ahteshamkhizar giantoccipitalencephaloceleacasereportsurgicalandanestheticchallengeandreviewofliterature
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Giant occipital encephalocele: a case report, surgical and anesthetic challenge and review of literature

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