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Revista Médica Electrónica
On-line version ISSN 1684-1824
Abstract
RODRIGUEZ LOUREIRO, Jorge Luis et al. Clinical diagnosis and surgical treatment of an occipital meningocele. Rev. Med. Electrón. [online]. 2011, vol.33, n.4, pp. 534-539. ISSN 1684-1824.
The occipital meningocele is a congenital malformation produced by a defect in the neural tube closure. This disease's natural course is toward death caused by the infection of the central nervous system or toward some level of advanced motor or sensitive disability. There have been described several forms of this malformation. Its diagnosis is based in the physical examination and in neurophysiologic and imaging studies, indispensable to know the content of the hernia sac and to determine the kind of surgery to carry out. We presented the case of a male patient that had to be surgically treated only for the results of the physical examination and simple radiographic study, due to the economical family impossibility of paying the rest of the complementary examination. We opened the hernia sac, drained the cerebrospinal fluid and repaired the skin and muscular planes. The patient had a favorable evolution.
Keywords : encephalomeningocele; meningocele; defects of the neural tube closure; congenital anomalies; neurosurgery.