Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
International Journal of Neurology and Neurosurgery

Volume  12, Issue 2, April-June 2020, Pages 93-98
 

Original Article

Occipital Encephaloceles “Double Heads”: Outcome Analysis of Surgical Management at a Tertiary Care Centre

Somil Jaiswal1, Awdhesh Yadav2, Manish Jaiswal3, Ankur Bajaj4, Chhitij Srivastava5, Anil Chandra6, BK Ojha7

1,3Associate Professor, 2Assistant Professor, 4,5,6,7Professor, Department of Neurosurgery, King George’s Medical University, Lucknow,India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.12220.5

Abstract

Context- Occipital encephaloceles are one of the less commonly seen herniation deformities of central nervous system. Management of this entity has been an uphill task and this study touches all aspects and dimensions of this complex entity along with its outcome. Aim- To study the epidemiological, clinical, radiological features, perioperative issues,
post surgical results and outcome. Settings and Design- A retrospective study comprising of 39 patients of occipital encephaloceles admitted from January 2013 to March 2019 in the Department of Neurosurgery at King George’s Medical University(KGMU), Lucknow was performed. Materials and Methods Data records containing demographic, clinical and radiological details as well as intraoperative and post surgical details and follow up were analyzed. Results- In this study of 39 patients (24 male and 15 female), age ranged from 2 months-14 years. Hydrocephalus was seen in 20 patients (51%) cases and Corpus callosum abnormality was seen in 10 patients (24%). Five patients
were having ruptured encephalocele (11%). Excision of sac along with its contents and water tight dural repair was done in all cases. Shunt surgery was done in 25 cases (64%). Mortality was recorded in seven patients (18%). Wound infection was the commonest complication seen in this study. Mean follow up was of 48 months. 47% of the patients
had no neurological deficits while 53% had moderate neurological deficits. Conclusion- Occipital encephalocele pose a surgical challenge though better outcomes have been achieved with multidisciplinary team approach. Giant size sac with significant brain tissue is a bad prognostic indicator for the outcome.

Keywords: Occipital Encephalocele; Giant Encephalocele; Surgery; Outcome.
 


Corresponding Author : Awdhesh Yadav