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Large occipito-cervical encephalocele with Chiari III malformation

S Ambekar1, B I Devi, D Shukla

  • 1Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.

Journal of Pediatric Neurosciences
|March 13, 2012
PubMed

Insights

Chiari type III malformation, a rare condition, often leads to severe outcomes. This study suggests cerebrospinal fluid (CSF) shunting before encephalocele repair may improve results for large cases.

Area of Science:

  • Neurology
  • Neurosurgery
  • Developmental Biology

Background:

  • Chiari type III malformation is a rare congenital disorder.
  • It is characterized by significant morbidity and mortality.
  • Current treatment involves encephalocele closure, potentially with cerebrospinal fluid (CSF) shunting.

Purpose of the Study:

  • To evaluate an alternative treatment approach for Chiari type III malformation.
  • To investigate the efficacy of prioritizing CSF shunting for large encephaloceles.

Main Methods:

  • The study involved a patient with Chiari type III malformation.
  • Treatment included initial ventriculoperitoneal shunt placement.
  • Subsequent excision of the encephalocele was performed.

Main Results:

  • The patient underwent successful ventriculoperitoneal shunting followed by encephalocele excision.
  • This sequential approach was employed for a large encephalocele.

Conclusions:

  • Prioritizing CSF shunting before encephalocele repair is proposed for large cases.
  • This strategy may lead to more optimal outcomes in managing Chiari type III malformations.

Keywords:
Chiari malformationencephalocelehydrocephalus

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