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A red herring CVA with unexpected outcome: illustrative case
Charles Swanson1, Raju Z Abraham2, Michael Ruebhausen3
1Departments of1Internal Medicine, Graduate Medical Education.
Journal of Neurosurgery. Case Lessons
|September 21, 2022
Summary
A rare case of brain herniation through a skull defect (intradiploic encephalocele) was successfully treated. Neurosurgical intervention and reconstruction led to significant symptom recovery and restored the patient's head contour.
Area of Science:
- Neurosurgery
- Neurology
- Skull Reconstruction
Background:
- Defects in the calvaria's inner table and trabeculae are uncommon.
- Brain parenchyma herniation through skull defects, causing neurological deficits, is exceptionally rare.
- Surgical repair of such defects carries a risk of brain tissue loss.
Purpose of the Study:
- To present a case of intradiploic encephalocele.
- To describe successful surgical treatment and neuroplastic reconstruction.
- To highlight the resolution of neurological deficits and anatomical restoration.
Main Methods:
- Surgical intervention for intradiploic encephalocele.
- Neuroplastic reconstruction to address the anatomical deficit.
- Management of a 78-year-old male with strokelike symptoms.
Main Results:
- Successful surgical treatment of the intradiploic encephalocele.
- Marked recovery of the patient with near-complete resolution of neurological symptoms.
- Restoration of normal head contour through a collaborative approach.
Conclusions:
- Intradiploic encephalocele is a rare condition that can be effectively treated surgically.
- Neurosurgical intervention, combined with neuroplastic techniques, can spare brain parenchyma and restore normal anatomy.
- This case demonstrates a successful outcome for a rare neurological and anatomical challenge.
