Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0037-1599799
Symptomatic Parietal Intradiploic Encephalocele—A Case Report and Literature Review
Publication History
22 October 2016
02 January 2017
Publication Date:
16 March 2017 (online)
![](https://www.thieme-connect.de/media/jnlsr/201701/lookinside/thumbnails/10-1055-s-0037-1599799_160055-1.jpg)
Abstract
Encephalocele is a rare condition that consists of herniation of cerebral matter through openings of dura and skull. A majority of encephaloceles are congenital and manifest in childhood. We present a case of a 45-year-old man presenting with contralateral hemiparesis and found to have an extremely rare phenomenon of a symptomatic posttraumatic parietal intradiploic encephalocele (IE) manifesting 36 years following pediatric traumatic head injury. Computed tomography and magnetic resonance imaging confirmed herniation of brain tissue into the intradiploic space. Surgical treatment with reduction of the encephalocele achieved near resolution of preoperative hemiparesis on follow-up. The pathogenesis and a literature review of IE are discussed.
Keywords
parietal intradiploic encephalocele - traumatic brain injury - history - computed tomography - magnetic resonance imagingDisclosure
None.
-
References
- 1 Mealey Jr J, Dzenitis AJ, Hockey AA. The prognosis of encephaloceles. J Neurosurg 1970; 32 (02) 209-218
- 2 Martínez-Lage JF, Poza M, Sola J. , et al. The child with a cephalocele: etiology, neuroimaging, and outcome. Childs Nerv Syst 1996; 12 (09) 540-550
- 3 Matson DD, Ingraham FD. Neurosurgery of Infancy and Childhood, 2nd ed. Springfield, IL.: Thomas; 1969
- 4 Tsuboi Y, Hayashi N, Noguchi K, Kurimoto M, Nagai S, Endo S. Parietal intradiploic encephalocele--case report. Neurol Med Chir (Tokyo) 2007; 47 (05) 240-241
- 5 Kosnik EJ, Meagher JN, Quenemoen LR. Parietal intradiploic encephalocele. Case report. J Neurosurg 1976; 44 (05) 617-619
- 6 David DJ. Cephaloceles: classification, pathology, and management--a review. J Craniofac Surg 1993; 4 (04) 192-202
- 7 David DJ, Proudman TW. Cephaloceles: classification, pathology, and management. World J Surg 1989; 13 (04) 349-357
- 8 Suwanwela C, Suwanwela N. A morphological classification of sincipital encephalomeningoceles. J Neurosurg 1972; 36 (02) 201-211
- 9 Patil AA, Etemadrezaie H. Posttraumatic intradiploic meningoencephalocele. Case report. J Neurosurg 1996; 84 (02) 284-287
- 10 Lenthall R, Penney C. Growing skull fracture extending posteriorly to the superior sagittal sinus with intradiploic extension. Br J Radiol 1999; 72 (859) 714-716
- 11 Martínez-Lage JF, López F, Piqueras C, Poza M. Iatrogenic intradiploic meningoencephalocele. Case report. J Neurosurg 1997; 87 (03) 468-471
- 12 Loumiotis I, Jones L, Diehn F, Lanzino G. Symptomatic left intradiploic encephalocele. Neurology 2010; 75 (11) 1027
- 13 Menkü A, Koç RK, Tucer B, Akdemir H. Is skull fracture necessary for developing an intradiploic pseudomeningocele as a complication of head injury in adulthood?. Acta Neurochir (Wien) 2004; 146 (06) 623-627 , discussion 627
- 14 Eames FA, Waldman JB. CT of posttraumatic intradiploic pseudomeningocele of the skull base: a case report. AJNR Am J Neuroradiol 1991; 12 (05) 985-987
- 15 Mahapatra AK, Tandon PN. Post-traumatic intradiploic pseudomeningocele in children. Acta Neurochir (Wien) 1989; 100 (3-4): 120-126
- 16 Turgut M, Ozcan OE, Karaman CZ. Post-traumatic intra-osseous pseudomeningocele of the occipital bone. Australas Radiol 1998; 42 (03) 262-263
- 17 Fountas KN, Smith JR, Jenkins PD, Murro AM. Spontaneous motor cortex encephalocele presenting with simple partial seizures and progressive hemiparesis. Case report and review of the literature. Neurosurg Focus 2005; 19 (03) E10
- 18 Arevalo-Perez J, Millán-Juncos JM. Parietal intradiploic encephalocele: report of a case and review of the literature. Neuroradiol J 2015; 28 (03) 264-267
- 19 D'Almeida AC, King RB. Intradiploic cerebrospinal fluid fistula. Report of two cases. J Neurosurg 1981; 54 (01) 84-88
- 20 Lunardi P, Missori P, Artico M, Fortuna A. Posttraumatic intradiploic leptomeningeal cyst in an adult: case report. Surg Neurol 1991; 35 (06) 475-477
- 21 Martínez-Lage JF, Martínez Pérez M, Domingo R, Poza M. Posttraumatic intradiploic arachnoid cyst of the posterior fossa. Childs Nerv Syst 1997; 13 (05) 293-296
- 22 Peters J, Raab P, Marquardt G, Zanella FE. Intradiploic meningoencephalocele. Eur Radiol 2002; 12 (03) S25-27