PMC7771411_01
(a) Double frontal encephalocele (black arrow), bilateral complete cleft lip (dotted black arrow) and hypertelorism; (b) Left leg: constriction ring above ankle joints (black arrow); (c) Left foot: partial amputation of the 1st and 2nd fingers (black arrowheads), constriction ring of the 3rd finger (black arrow) and fenestrated syndactyly of the 4th and 5th fingers (dotted black arrow); (d) Right foot: fenestrated syndactyly of the 2nd, 3rd, and 4th fingers (black arrow).
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F1
The newborn had the following abnormalities: multiple craniofacial malformations such as bilateral cleft lip, hypertelorism, and bilateral frontal encephalocele [Figure 1a] and upper and lower limb malformations such as finger amputations, syndactyly, and constriction rings [Figure 1bd].
(a) Left frontal encephalocele repair with nonfunctional brain tissue removal (black arrow); (b) right frontal encephalocele repair; (c) postoperative after encephalocele resection.
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F2
The patient underwent surgical repair of the double frontal encephaloceles (6 x 4 cm on the right and 6 x 5.5 cm on the left), with no complications [Figure 2].
(a) and (b) Frontal cranial defect with open sutures (black arrows), without craniosynostosis showing two separate sacs with malformed neural tissue (white arrows): dysmorphic ventricle, open lip schizencephaly, lissencephaly spectrum, agenesis of the corpus callosum; (c) ventriculoperitoneal shunt placement (black arrow). (d) After shunt placement.
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F3
At 30 days of age, the infant did not have craniosynostosis on 3D CT [Figure 3a], evidenced dysmorphic ventricle with open lip schizencephaly [Figure 3b], requiring ventriculoperitoneal shunt placement [Figure 3c], and satisfactory postoperative results were obtained [Figure 3d].