Acrania: report of the first surviving case.
The first known surviving case of acrania is presented. The patient was the first child of a 29-year-old Japanese woman. Fetal ventriculomegaly was documented in the 35th gestational week. Prenatal sonography and magnetic resonance imaging suggested hydrocephalus with a wide encephalomeningocele. The baby was born at 38 weeks of gestational age by vaginal delivery. The patient had no calvarium, but did have a complete skull base with a partial defect in the occipital scalp and an underlying dural defect. Subsequently, the patient underwent repair of the scalp defect. At 3 months of age, after hydrocephalus developed, a subduro-peritoneal shunt was placed because of cosmetic and nursing problems. His developmental quotient was 10 at 3 years.
Kurata
H
H
Department of Neurosurgery, Kobe University School of Medicine, Japan.
Tamaki
N
N
Sawa
H
H
Oi
S
S
Katayama
K
K
Mochizuki
M
M
Uetani
Y
Y
Yokoyama
N
N
Nakamura
H
H
D000328:Adult; D001921:Brain / Q000002:abnormalities / Q000473:pathology; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis* / Q000601:surgery; D007223:Infant; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012886:Skull / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D016216:Ultrasonography, Prenatal; D017287:Ventriculoperitoneal Shunt