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Two-Stage Management of Mega Occipito-Encephalocele

Mardzuki A.I., and Abdullah J., and Ghazaime G., and Ariff A.R., and Ghazali M., (2003) Two-Stage Management of Mega Occipito-Encephalocele. Medical Journal of Malaysia, 58 (1). pp. 115-119. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Hospital Universiti Sains Malaysia. Dept. of Neurosciences.
Hospital Universiti Sains Malaysia. Dept. of Radiology.
Hospital Universiti Sains Malaysia. Dept. of Neurosciences.
Hospital Universiti Sains Malaysia. Dept. of Radiology.
Hospital Universiti Sains Malaysia. Dept. of Neurosciences.

Abstract

We report three cases of large occipito-encephaloceles that were managed in the Neurosciences Unit, Hospital Universiti Sains Malaysia over the last 5 years. All patients had pre-operative MRI (magnetic resonance imaging) evolution and mapping of the sagittal sinus tract. The cerebrospinal fluid (CSF) of all three patients were initially diverted by means of ventricular shunt two weeks prior to shunt removal. The slow drainage of CSF prevented electrolyte and volume disturbances due to sudden decompression during their definitive occipital encephalocele operations. After 3 years follow-up, all these patients are progressing well.

Item Type:Journal
Keywords:Mega occipito-encephalocele, Malaysia
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:6246

1. Adentiloye VA, Daro FO, Oyelamani OA. A ten year review of encephalocele in a teaching hospital. Int. J.Gynaecol. Obstet (1993); 41: 241-9.

2. Chapman PH, Swearingen B, Caviness VS. Subtorcular occipital encephalocele. Anatomical consideration relevant to operative management. J. Neurosurg (1989); 71: 375-81.

3. Rapport RL, 2nd, DunnRc Jr, Alhady F, Anterior encephalocele J Neurosurgery 1981; 54(2): 213-9.

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