Related Experiment Video
Updated: May 18, 2026
11:49
Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct
Published on: January 22, 2010
A giant occipital encephalocele
Amit Agarwal1, Aruna Vijay Chandak, Anand Kakani
1Department of Neurosurgery, Datta Meghe Institute of Medical Sciences Sawangi, Wardha, India.
APSP Journal of Case Reports
|September 7, 2012
Summary
Giant occipital encephaloceles, rare but large lesions, present a surgical challenge. This report details a successful surgical reduction in a four-month-old infant, achieving a positive outcome.
Area of Science:
- Neuroscience
- Pediatric Surgery
- Medical Imaging
Background:
- Giant occipital encephaloceles are rare congenital malformations characterized by protrusion of brain tissue and meninges through a defect in the occipital bone.
- Their large size presents significant surgical challenges, often associated with poor prognosis in neonates.
Observation:
- A four-month-old female infant presented with a progressively increasing occipital swelling, noted since birth.
- The swelling was identified as a giant occipital encephalocele, posing a considerable surgical risk.
Findings:
- Surgical intervention involved excision of the redundant sac and reduction of encephalocele contents.
- The procedure successfully accommodated healthy brain tissue, leading to a favorable postoperative recovery.
Implications:
- This case highlights the feasibility and positive outcomes of surgical management for giant occipital encephaloceles, even in large presentations.
- Successful surgical reduction can improve prognosis for infants with these rare and challenging congenital anomalies.
- Further research into surgical techniques and long-term outcomes for giant encephaloceles is warranted.
Related Concept Videos
01:14Cranial Bones: Superior and Posterior View
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
01:26Cerebrum: Anatomical Overview I
The main and largest component of the human brain is the cerebrum. The cerebrum consists of two main parts: the cerebral cortex, an outer layer with wrinkles or folds known as gyri and shallow grooves called sulci, and a deeper region beneath it. The cerebrum divides into two distinct hemispheres and contains five different lobes: the frontal, parietal, temporal, occipital, and insula. The central sulcus separates the frontal and parietal lobes and two functionally important gyri — the...
01:26Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
01:14Increased Intracranial Pressure l: Introduction
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
01:22Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...
01:19Cranial and Spinal Meninges
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...