Abstract

Encephalocele is a mesodermal defect in the skull bones and duramater. Vertex encephalocele is a rare congenital anomaly of newborn with variable prognostic value. We report a case of a vertex encephalocele with no associated other system malformations.. Case description: A unique case of a 25 day neonate, with swelling over scalp was evaluated by the neurosurgical team and the patient underwent neurosurgery. Excision and repair of defect was done. Child stood surgery well and post operatively child could move all four limbs without any gross neurological deficit. Post-operative recovery was uneventful. Conclusion: In planning the strategy for management of encephalocele, one needs to take into consideration the site, size, contents, patency of CSF pathway, neurological status and other associated anomalies. Inspite of such a big encephalocele in an atypical location, excision and repair gave excellent results

Description