PDF herunterladen
CC BY-NC-ND 4.0 · J Neurol Surg Rep 2017; 78(01): e40-e45
DOI: 10.1055/s-0037-1599799
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Symptomatic Parietal Intradiploic Encephalocele—A Case Report and Literature Review

Chen Shi
1   Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Bruno Flores
1   Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Stephen Fisher
2   Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Samuel L Barnett
3   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
› Institutsangaben
Weitere Informationen

Publikationsverlauf

22. Oktober 2016

02. Januar 2017

Publikationsdatum:
16. März 2017 (online)

Auch verfügbar auf
   Lizenzen und Reprints

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 imaging

Disclosure

None.


 

  • References

  • 1 Mealey Jr J, Dzenitis AJ, Hockey AA. The prognosis of encephaloceles. J Neurosurg 1970; 32 (02) 209-218
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 3 Matson DD, Ingraham FD. Neurosurgery of Infancy and Childhood, 2nd ed. Springfield, IL.: Thomas; 1969
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 5 Kosnik EJ, Meagher JN, Quenemoen LR. Parietal intradiploic encephalocele. Case report. J Neurosurg 1976; 44 (05) 617-619
    CrossrefPubMedGoogle Scholar
  • 6 David DJ. Cephaloceles: classification, pathology, and management--a review. J Craniofac Surg 1993; 4 (04) 192-202
    PubMedGoogle Scholar
  • 7 David DJ, Proudman TW. Cephaloceles: classification, pathology, and management. World J Surg 1989; 13 (04) 349-357
    CrossrefPubMedGoogle Scholar
  • 8 Suwanwela C, Suwanwela N. A morphological classification of sincipital encephalomeningoceles. J Neurosurg 1972; 36 (02) 201-211
    CrossrefPubMedGoogle Scholar
  • 9 Patil AA, Etemadrezaie H. Posttraumatic intradiploic meningoencephalocele. Case report. J Neurosurg 1996; 84 (02) 284-287
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 11 Martínez-Lage JF, López F, Piqueras C, Poza M. Iatrogenic intradiploic meningoencephalocele. Case report. J Neurosurg 1997; 87 (03) 468-471
    CrossrefPubMedGoogle Scholar
  • 12 Loumiotis I, Jones L, Diehn F, Lanzino G. Symptomatic left intradiploic encephalocele. Neurology 2010; 75 (11) 1027
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 15 Mahapatra AK, Tandon PN. Post-traumatic intradiploic pseudomeningocele in children. Acta Neurochir (Wien) 1989; 100 (3-4): 120-126
    CrossrefPubMedGoogle Scholar
  • 16 Turgut M, Ozcan OE, Karaman CZ. Post-traumatic intra-osseous pseudomeningocele of the occipital bone. Australas Radiol 1998; 42 (03) 262-263
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 19 D'Almeida AC, King RB. Intradiploic cerebrospinal fluid fistula. Report of two cases. J Neurosurg 1981; 54 (01) 84-88
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 22 Peters J, Raab P, Marquardt G, Zanella FE. Intradiploic meningoencephalocele. Eur Radiol 2002; 12 (03) S25-27
    CrossrefPubMedGoogle Scholar