Presentation
Occipital encephaloceles present as masses overlying the occiput or posterior neck. [dermatologyadvisor.com]
Prepare for the USMLE Step 1 with clinical case presentations, highlighted in special boxes, that demonstrate how embryology concepts relate to clinical practice. [books.google.de]
Joubert syndrome was first reported in 1969 as a rare, recessive autosomal syndrome associated with neuropathological abnormalities of the cerebellum and brain stem, partial or complete aplasia of the cerebellar vermis, and presenting with episodic hyperpnea [ncbi.nlm.nih.gov]
[…] tomography (CT) of the head indications when neurologic impairment is present when there is concern for a skull fracture studies diagnostic criteria usually a clinical diagnosis differential caput succedaneum cranial meningocele treatment conservative [medbullets.com]
Entire Body System
- Weakness
Reference article, Radiopaedia.org (Accessed on 26 Nov 2022) https://doi.org/10.53347/rID-38704 Meningoceles (also spelled meningocoele) are protrusions of the meninges through a defect or weak point in the skull or spine, usually involving the soft tissues [radiopaedia.org]
Because of muscle weakness or paralysis, a child with spina bifida will need physical therapy and may require future surgeries. [surgeryencyclopedia.com]
This results in weakness and loss of sensation below the defect. It can interfere with bowel or bladder function or cause fluid to build up in the brain. [healthline.com]
This traction causes low back pain, scoliosis, lower extremity weakness and sensory loss, and bowel and bladder dysfunction. [neuropathology-web.org]
Hydrocephalus, weakness including facial weakness, lower cranial nerve abnormalities Treatment: surgical decompression and cerebrospinal fluid (CSF) shunt for hydrocephalus Chiari type III malformation : Features of Chiari type II with herniation of the [sites.google.com]
Eyes
- Lacrimation
Careful preoperative planning is encouraged, as is the intraoperative use of a lacrimal probe, blunt dissection, and the operating microscope.) Richieri-Costa, A, Guion-Almeida, ML. [dermatologyadvisor.com]
Face, Head & Neck
- Short Neck
Short neck, large tongue and large head are some of the reasons why pediatric airway is difficult. Difficult airway cart with ventilation masks, tracheal tubes, airways, scope blades etc., should be kept ready. [aeronline.org]
Neurologic
- Vertigo
Neck pain, mild neck stiffness, cranial nerve paralysis, dizziness, vertigo, nausea, vomiting, diplopia, phonophobia, tinnitus, instability, numbness of face are the other symptoms that may occur due to intracranial hypotension. [omicsonline.org]
They were not associated with any obvious cause; there was no history of associated visual disturbances, vertigo, dizziness, earache, nausea, or recurrent upper respiratory tract infections. [appliedradiology.com]
[…] extension of the medulla Presenting symptoms are due to any of the above associated abnormalities plus occipital headaches, especially brought on by neck extension or the Valsalva maneuver (most common presenting symptom), sometimes associated with ataxia, vertigo [sites.google.com]
Workup
Isolated coccygeal dimples do not require further workup or treatment. FIGURE 9 Benign coccygeal dimple within the gluteal cleft and overlying the tip of the coccyx. [pediatrics.aappublications.org]
The workup for a Chiari I malformation should include a brain MRI to rule out a secondary Chiari I malformation and a complete spine MRI to rule out syrinx and tethered cord. Tx: Posterior fossa decompression and duraplasty. [sites.google.com]
Other Pathologies
- Occipital Encephalocele
Ultrasonograms show oligohydramnios-enlarged echogenic kidneys (left) and a fairly large occipital encephalocele containing brain tissue (right). Sagittal ultrasonogram through the fetal skull shows a small occipital encephalocele. [emedicine.medscape.com]
The prognosis of occipital encephalocele. Z Kinderchir 28:347-35,1979 Fleming AD, Vintzileos AM, Scorza WE. [fetalsono.com]
A fairly common classification still widely used is that first described by Suwanwela and Suwanwela in 1972 which divides the encephaloceles according to location 4 : occipital encephalocele : ~75% of cases sincipital frontoethmoidal encephalocele nasoethmoidal [radiopaedia.org]
Occipital encephalocele. a In a female newborn. Note the small, ovoid midline defect in the occipital region. [rrnursingschool.biz]
Encephalocele Occipital encephalocele. Encephalocele is a protrusion of brain through a defect of the skull, usually in the occipital area. The protruding part is destroyed because of mechanical disruption and ischemia. [neuropathology-web.org]
Treatment
[…] disorders across the lifespan (pediatric, adult, and geriatric populations) Includes interventions and methods of treatment for the outcomes patients may experience [books.google.de]
Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. [books.google.com]
Treatment of meningocele and encephalocele is only surgical in operable cases. [iliveok.com]
Surgery of encephalomeningocele (cranium bifidum) for correction of atlanto-occipital craniocervical junction and other defects Surgery for the treatment of craniostenosis, using a one- or two-stage approach Cranioplasty with prostheses or bone grafts [meditar.com]
[…] galea aponeurotica) and under the skin presentation physical exam swelling above the scalp that may be erythematous, petechiae, and ecchymosis studies diagnostic criteria usually a clinical diagnosis differential cephalohematoma iatrogenic encephalocele treatment [medbullets.com]
Prognosis
[…] may be associated with brain malformations that can have an effect on the prognosis. [chw.org]
Treatment and prognosis The prognosis is variable depending on the presence of associated anomalies and presence of microcephaly (carries a much poorer prognosis). [radiopaedia.org]
The prognosis is better, especially when they are < 5 cm in diameter, do not contain dysplastic or brain tissue, and when they are not associated with hydrocephalus or other anomalies. 8 Our patient, who had presented in adulthood, thus had a better prognosis [appliedradiology.com]
Prognosis Prognosis is favorable for life with surgical treatment. However, according to foreign statistics, mortality from secondary complications can reach 10 % even with perfect surgical treatment. [iliveok.com]
The prognosis of occipital encephalocele. Z Kinderchir 28:347-35,1979 Fleming AD, Vintzileos AM, Scorza WE. [fetalsono.com]
Etiology
With easy-to-read, in-depth descriptions of disease, disease etiology, and disease processes, Pathophysiology: The Biologic Basis for Disease in Adults and Children, 7th Edition helps you understand the most important and the most complex pathophysiology [books.google.com]
Etiology Subtypes and variants Diagnostics Prenatal screening Elevated levels of alpha-fetoprotein ( AFP ) in amniotic fluid at 13–15 weeks' gestation Fetal ultrasonography at 20 weeks' gestation CT scans and cranial ultrasonography (in infants ) to monitor [amboss.com]
The child with a cephalocele: etiology, neuroimaging, and outcome. Childs Nerv Syst 1996; 12 (9) 540-550 2 Lumenta CB, Di Rocco C, Haase J, Mooij JJA. European Manual of Medicine–Neurosurgery. [thieme-connect.com]
Etiology Pathophysiology The key underlying event in the development of meningoceles, encephaloceles and gliomas is faulty closure of the anterior neuropore. [dermatologyadvisor.com]
The etiology is controversial. [fetalsono.com]
Epidemiology
Definition Epidemiology References: [1] [2] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
EXTENSIVELY Updated content reflects advances in pathophysiology including tumor biology invasion and metastases, the epidemiology of cancer, diabetes mellitus, insulin resistance, thyroid and adrenal gland disorders, female reproductive disorders including [books.google.com]
(Caput succedaneum) Introduction Clinical definition an impairment in the function or structure of the neonates body secondary to an adverse birth event Epidemiology incidence approximately 2% location soft tissue extracranially intracranially fractures [medbullets.com]
Epidemiological studies have demonstrated multifactorial influences underlying NTDs. Variations in incidence have been seen across geographical variation, ethnic groups, socioeconomic status, and genetic predisposition. [emedicine.medscape.com]
Epidemiology [ edit ] Encephaloceles occur rarely, at a rate of one per 5,000 live births worldwide. [en.wikipedia.org]
Pathophysiology
With easy-to-read, in-depth descriptions of disease, disease etiology, and disease processes, Pathophysiology: The Biologic Basis for Disease in Adults and Children, 7th Edition helps you understand the most important and the most complex pathophysiology [books.google.com]
[…] position forceps or vacuum assisted device prognosis infant mortality secondary to birth trauma has significantly decreased Cranial Injuries Caput succedaneum clinical definition edematous scalp swelling above the periosteum that crosses the suture lines pathophysiology [medbullets.com]
Yoursry I, Förderreuther S, Moriggl B,Holtmannspötter M, Naidich TP, et al. (2001) Cervical MR Imaging in postural headache: MR sings and pathophysiological implications. AJNR 22:1239-1250. [omicsonline.org]
Etiology Pathophysiology The key underlying event in the development of meningoceles, encephaloceles and gliomas is faulty closure of the anterior neuropore. [dermatologyadvisor.com]
Normal Embryology and the Pathophysiology of Spinal Cord Tethering Dysraphic CNS malformations arise during the second, third, and fourth weeks of human embryogenesis, generally referred to as the period of neurulation. [pediatrics.aappublications.org]
Prevention
Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. 332 ページ - Crane JP, LeFevre ML, Winborn RC, et al. [books.google.com]
Prevention Periconceptional folate supplementation has a strong protective effect against NTDs. [ 11 ] Supplementation must begin before conception for it to be effective. [ 12 ] To prevent a first occurrence, women who are planning to become pregnant [patient.info]
Getting enough folic acid during pregnancy has been shown to help prevent the condition. [healthline.com]