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 CASE REPORT
Year : 2014  |  Volume : 9  |  Issue : 2  |  Page : 136-138

Large vertex meningoencephalocele with schizencephaly: An interesting case with neurosurgical challenge


Department of Neurosurgery, Sriram Chandra Bhanj Medical College and Hospital, Cuttack, Odisha, India

Correspondence Address:
Satya Bhusan Senapati
Department of Neurosurgery, Sriram Chandra Bhanj Medical College and Hospital, Cuttack - 753 007, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.139315

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An encephalocele is a developmental disorder of neural tube closure, where as schizencephaly is a developmental disorder of neuronal migration. There are only few case reports suggesting association of schizencephaly with meningoencephalocele. We report a case of 6-year-old child who was brought by her parent with complaints of progressive swelling over her vertex since birth, left sided hemiparesis and intermittent generalized tonic clonic convulsion for last 3 years. Clinical examination, computed tomography (CT) and magnetic resonance imaging (MRI) of brain revealed a large calvarial defect with meningoencephalocele and associated schizencephaly. Initially, ventriculoperitoneal (VP) shunt was carried out, followed by successful repairing of the defect. This case is interesting for late presentation, management difficulties and associated anomalies "schizencephaly", which is a rare developmental disorder.






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