title: Supra- and infra-torcular double occipital encephalocele.
abstract: An encephalocele is a protrusion of the brain and/or meninges through a defect in the skull that is closed or covered with skin. Occipital encephaloceles are the most frequent type in North America and Western Europe, where about 85% of encephaloceles take this form. To the best of our knowledge, there are only three other reported cases of double occipital encephaloceles in the literature. The current study reports a double and both supra- and infra-torcular occipital encephalocele in a neonate and discusses the importance of preoperative neuroimaging studies to optimize the outcome. The patient was a 1-day-old male child who was identified by prenatal ultrasound to have two occipital encephaloceles. The patient underwent a closure of the occipital encephalocele on the second postnatal day. The infant tolerated the procedure well and was extubated on the first postoperative day. The child continues to do well during follow-up.
authors.affiliation: Spina Bifida Research Center, Florance Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Canaz
authors.affiliation: Haydarpaşa Numune Research and Training Hospital, Istanbul, Turkey.
authors.forename: Ezgi
authors.initials: E
authors.lastname: Ayçiçek
authors.affiliation: Haseki Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
authors.forename: Mustafa Ali
authors.initials: MA
authors.lastname: Akçetin
authors.affiliation: Gaziosmanpaşa Taksim Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey. Electronic address: osakdemir@yahoo.com.
authors.forename: Osman
authors.initials: O
authors.lastname: Akdemir
authors.affiliation: Spina Bifida Research Center, Florance Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alataş
authors.affiliation: Recep Tayyip Erdoğan University, Faculty of Medicine, Department of Neurosurgery, Rize, Turkey.
authors.forename: Bülent
authors.initials: B
authors.lastname: Özdemir
mesh_terms: D004677:Encephalocele / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009777:Occipital Bone
keywords: Doble encefalocele; Double encephalocele; Infra-torcular; Infratorcular; Occipital; Supra-torcular; Supratorcular; Técnicas de diagnóstico por imagen venoso; Venous imaging