PMC3271622_01
Clinical photograph showing the giant occipital encephalocele associated with microcephaly and micrognathia
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F1
Lower part of swelling was extended up to mid-dorsal region [Figure 1].
MRI brain showing the cystic nature of giant occipital encephalocele with small amount of brain tissue
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F2
Magnetic resonance imaging (MRI) revealed the cystic nature of the giant occipital encephalocele with a very small amount of brain tissue [Figure 2] There was a defect of 32  30 mm in occipital bone. MR venography revealed no venous system involvement [Figure 3].
MR venography showing there is no venous system involvement
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F3
Magnetic resonance imaging (MRI) revealed the cystic nature of the giant occipital encephalocele with a very small amount of brain tissue [Figure 2] There was a defect of 32  30 mm in occipital bone. MR venography revealed no venous system involvement [Figure 3].
Schematic representation of position on OT table for intubation in normal and in patient with giant meningo encephalocele.
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F4
The child was intubated in supine position with head supported from below by two people, over the edge of OT table [Figure 4].
Intraoperative photograph showing the excision of sac
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F5
Excision of the encephalocele sac was done with the herniated glial tissue [Figure 5].