Anterior encephaloceles: a report of 30 cases

A K Mahapatra1, P N Tandon, I K Dhawan

  • 1Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi.

Insights

This study reviewed 30 anterior encephalocele cases, finding one-stage repair effective for fronto-ethmoidal defects, particularly in infants. Surgical outcomes were positive with no mortality, emphasizing the benefits of early intervention.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Craniofacial Surgery

Background:

  • Anterior encephalocele is a congenital condition requiring surgical intervention.
  • Early surgical management is often indicated for anterior encephalocele.
  • Fronto-ethmoidal defects are a common subtype of anterior encephalocele.

Observation:

  • Thirty anterior encephalocele cases were treated between 1973 and 1990.
  • Over 60% of patients were under 2 years old at surgery; 40% under 1 year.
  • Fronto-ethmoidal defects predominated (26 cases), with associated hypertelorism in 25 children.

Findings:

  • One-stage repair of encephalocele and orbital reconstruction was performed in 26 patients.
  • No postoperative mortality was observed.
  • Postoperative CSF rhinorrhoea occurred in 6 patients, with 3 requiring shunts.

Implications:

  • One-stage repair is a viable and effective surgical approach for anterior encephalocele.
  • Early surgical intervention in infants with anterior encephalocele yields favorable outcomes.
  • Management of associated hydrocephalus and CSF complications is crucial.

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