PMC4608168_01
Positive sac transillumination of the interparietal posterior fontanel meningohydroencephalocele.
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The malformation was cystic on its superior part where trans-illumination was positive (Figure 1).
Brain volumetric CT showing a large epicranial blood vessel extending from the frontal region to the encephalocele.
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The protruded malformation showed two large blood vessels in the midline under the overlying skin, which extended to the frontal region (Figure 2).
Brain CT scan showing the encephalocele sac content (coronal (A) and sagittal (B) views).
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The sac had various partitions, which were in communication with the ventricular system (Figure 3).
Operating view showing sac dissection.
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The sac layers were all dissected until the limits of the bone defect (Figure 4).
Sutured surgical wound (A) and scar incisions 15 days after surgery (B).
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The surgical wound was sutured with absorbable monocryl 2-0 (Figure 5A). The patient was discharged on the fifth day after the second surgical procedure and was well on the regular follow-up at the neurosurgery outpatient service (Figure 5B).