title: Expansile cranioplasty for massive occipital encephalocele.
abstract: OBJECTIVE
  This report highlights the management of infrequently encountered massive occipital encephaloceles with herniation of large amount of apparently functional cortex into the encephalocele sac.
  
  
  METHODS
  Two children with giant occipital encephaloceles with herniation of significant brain parenchyma into the encephalocele sac were managed with expansile cranioplasty and reconstruction of the calvarial defect with autologus bone graft harvested from the adjacent parietal region.
  
  
  CONCLUSIONS
  Giant occipital encephaloceles with significant brain parenchyma in the encephalocele sac can be considered for preservation of the herniated parenchyma and expansile cranioplasty.
authors.affiliation: Departments of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India. aarmohanty@yahoo.com
authors.forename: Aaron
authors.initials: A
authors.lastname: Mohanty
authors.forename: Arundhati
authors.initials: A
authors.lastname: Biswas
authors.forename: Madhusudan
authors.initials: M
authors.lastname: Reddy
authors.forename: Sastry
authors.initials: S
authors.lastname: Kolluri
mesh_terms: D016025:Bone Transplantation; D002675:Child, Preschool; D003399:Craniotomy / Q000379:methods*; D004677:Encephalocele / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D009777:Occipital Bone / Q000473:pathology / Q000601:surgery*; D009778:Occipital Lobe / Q000002:abnormalities* / Q000473:pathology; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D012086:Reoperation; D014057:Tomography, X-Ray Computed