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Year : 2020  |  Volume : 15  |  Issue : 3  |  Page : 257-260

Giant anterior fontanel encephalocoele: A rare case report and review of literature

1 Department of Neurosurgery, Srirama Chandra Bhanja Medical College & Hospital, Cuttack, Odisha, India
2 Department of Pediatrics, Peerless Hospital, Kolkata, West Bengal, India

Correspondence Address:
Dr. Bikash R Behera
B/L-29, VSS Nagar, P.O. Sahid Nagar, Bhubaneswar, Odisha.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpn.JPN_143_16

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An encephalocoele is a spectrum of cranial dysraphism caused due to defective closure of neural tube during early embryonic life, leading to formation of a cerebrospinal fluid (CSF)–filled sac containing brain tissue and meninges, all herniated through a bony defect of the skull. Anterior encephalocoeles, though rare in the Western world, are relatively common in southeast Asia, including some parts of India. Among anterior encephalocoeles, fronto-ethmoidal type is the most common followed by orbital encephalocoeles. Giant encephalocoeles are rare with few published short series, which are mostly located in occipital region. Giant interfrontal encephalocoele through a wide anterior fontanel is the rarest one and is limited to three case reports, including this index case. Here we report a case of giant anterior fontanel encephalocoele in a 20-day-old neonate and discuss various aspects of its management.


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