title: Brain Herniation in Neurofibromatosis with Dysplasia of Occipital Bone and Posterior Skull Base.
abstract: A 22-year-old female, a known case of neurofibromatosis 1 (NF1), presented with a congenital swelling in the left occipital region. She had developed recent onset dysphagia and localized occipital headache. Neuroradiology revealed a left occipital meningoencephalocele and a left parapharyngeal meningocele. This was associated with ventriculomegaly. She was advised on cranioplasty along with duraplasty which she denied. She agreed to a lumbar-peritoneal shunt. She described a dramatic improvement in her symptoms following the lumbar-peritoneal shunt. Occipital dysplasias, though uncommon, have been reported in the literature. We review this case and its management and discuss relevant literature on occipital dysplasias in NF1.
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Vithal
authors.initials: V
authors.lastname: Rangarajan
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Mahore
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Manoj
authors.initials: M
authors.lastname: Patil
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Prashant
authors.initials: P
authors.lastname: Sathe
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Amol
authors.initials: A
authors.lastname: Kaswa
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Gore
authors.affiliation: Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Pralhad
authors.initials: P
authors.lastname: Dharurkar
authors.affiliation: Department of Medicine, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400012, India.
authors.forename: Juhi
authors.initials: J
authors.lastname: Kawale