Encephalocele and associated skull defects

Encephalocele is a common congenital problem in the practice of Neurosurgery worldwide, with varying sizes of the underlying skull defects. This study was carried out to determine the size of the problem; to assess whether the skull defects are being under-managed or not; and also to determine those...

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Published inWest African journal of medicine Vol. 22; no. 1; pp. 35 - 37
Main Authors Komolafe, E O, Shokunbi, M T, Malomo, A O, Oluwatosin, O M, Adeolu, A A, Tahir, C
Format Journal Article
LanguageEnglish
Published Nigeria 01.01.2003
Subjects
Child, Preschool
Craniofacial Abnormalities - complications
Craniofacial Abnormalities - surgery
Craniotomy - methods
Encephalocele - complications
Female
Humans
Infant
Infant, Newborn
Male
Reconstructive Surgical Procedures
Retrospective Studies
Skull - surgery
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Summary:Encephalocele is a common congenital problem in the practice of Neurosurgery worldwide, with varying sizes of the underlying skull defects. This study was carried out to determine the size of the problem; to assess whether the skull defects are being under-managed or not; and also to determine those patients that will benefit from cranioplasty. The case notes of the patients with encephalocele managed over a 5 year period were reviewed and the relevant data obtained. Seventy-six percent of the patients had occipital encephalocele. The average diameter of the skull defect was 1.8 cm. Only 2 (9.5%) of the patients had cranioplasty. Cosmesis was acceptable to all the patients. No recurrence was noted in the series studied. We therefore concluded that the skull defects are not being under-managed, however large anteriorly based lesions with wide skull defects (i.e >2.5 cm) will require cranioplasty.
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ISSN:0189-160X