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Fetal surgery for occipital encephalocele: A case report.
Méndez, Antonio García; Mena, Antonio Helue; Aguilar, Fernando Agustín; Segura, Jorge Alberto Rivera; Guerrero, Miguel Ángel García.
Afiliação
  • Méndez AG; Department of Pediatric Neurosurgery, Mexican Institute of Social Security, "La Raza" Medical Center, Mexico City, Mexico.
  • Mena AH; Department of Fetal Surgery, Mexican Institute of Social Security, "La Raza" Medical Center, Mexico City, Mexico.
  • Aguilar FA; Department of Pediatric Neurosurgery, Mexican Institute of Social Security, "La Raza" Medical Center, Mexico City, Mexico.
  • Segura JAR; Department of Pediatric Neurosurgery, Mexican Institute of Social Security, "La Raza" Medical Center, Mexico City, Mexico.
  • Guerrero MÁG; Department of Neurosurgery, Mexican Institute of Social Security, "La Raza" Medical Center, Mexico City, Mexico.
Surg Neurol Int ; 14: 433, 2023.
Article em En | MEDLINE | ID: mdl-38213449
ABSTRACT

Background:

Occipital encephalocele is a congenital defect of the neural tube at the level of the cranial midline, which results in herniation of meninges and brain tissue. The results of the management of myelomeningocele study determine the maternal and fetal risks for an open fetal surgery and have motivated the constant review of the concepts and strategies which the pediatric neurosurgeon can employ for the treatment of neural tube defects in the prenatal period. Case Description We present a case of a female patient in utero of 26 gestational weeks with the diagnosis of an occipital encephalocele treated by open fetal surgery. During week 20 of gestation, the diagnosis of occipital encephalocele was made by ultrasound, which was corroborated by fetal magnetic resonance that showed cranial protrusion of neural and meningeal content in the occipital region, measuring 1.6 × 2.8 × 3.3 cm with an approximate volume of 7.7 cc through a bone defect of 6 mm. The closure of the defect was performed by the postnatal surgical technique adapted to the open fetal surgery. Later, the patient was born transabdominal with a 2.8 cm occipital wound, with suture points and approximated borders, normocephalic, without clinical signs of sepsis, hydrocephalus, or overt neurologic compromise.

Conclusion:

Open fetal surgery is a therapeutic option in the face of an isolated occipital encephalocele. This case report demonstrates the viability of the surgical procedure by the adaptation of a postnatal surgical technique to a prenatal surgery. Further studies are needed to evaluate the long-term functional results, comparing them with those seen in patients who undergo a postnatal procedure.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos