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 CASE REPORT
Year : 2017  |  Volume : 12  |  Issue : 3  |  Page : 268-270

A giant occipital encephalocele in neonate with spontaneous hemorrhage into the encephalocele sac: Surgical management


1 Department of Neurosurgery, Neurosciences Centre, All India Institutes of Medical Sciences, New Delhi, India
2 RED LATINO, Latin American Trauma and Intensive Neuro-Care Organization, Bogota, Colombia
3 Department of Radiology, Hospital Gea Gonzalez, Universidad Nacional Autonoma de Mexico, Ciudad de, Mexico
4 Department of Internal Medicine, Hospital Gea Gonzalez, Universidad Nacional Autonoma de Mexico, Ciudad de, Mexico
5 Department of Neuroradiology, UNC, Chapel Hill, USA
6 Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

Correspondence Address:
Luis Rafael Moscote-Salazar
Red Latino. Latin American Trauma and Intensive Neuro-Care Organization, Bogota
Colombia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpn.JPN_6_17

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The presence of giant occipital encephalocele represents a surgical challenge. However, preoperative magnetic resonance imaging with venography can help in delineating relation of venous sinus, content of the sac and help classify occipital encephalocele into infra-torcular and torcular depending on the relation with position of torcula. However, the presence of old hemorrhage into encephalocele sac is extremely rare and in the detailed PubMed search, the authors could find one such case, reported by Nath et al. The author reports a case of giant occipital encephalocele; during surgery, evidence of old bleed was noted. Pertinent literature and management are reviewed briefly.






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