A 3 month-old male baby weighing 6.3 kg presented with a large occipital meningocele and was posted for ventriculoperitoneal shunt for hydrocephalus. Physical examination revealed swelling of 6 × 8 cm2 with full-thickness skin in the occipital region. The infant was active with no neurologic deficits and there were no other associated congenital anomalies found.



Occipital Encephalocoele has high morbidity and mortality This baby has hydrocephalus which indicate that there are additional problems in CSF draining system. Parents need to be counseled accordingly

Presently no neurological deficit is not a contraindications for surgical intervention . As child go older the stunt opration will be more risky . Reassurance and counselling required to parents.

Thanks Dr Pushkar Bhomia

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Needs MRi film for further comment. What is the head circumference ?.Normal child and hence wanted to seet the MRI before shunt procedure

Meningomyelocele with hydrocephalus needs shunts operation and surgical intervention

Thanx dr Ashok Leel

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Treating the meningocele involves closing the overlying meninges and the skin. Surgery is performed within a day or two of birth, and is necessary to prevent infection and to protect the exposed area of the spine.

Shunting to be decided after serial measurements of head circumference and confirmation of progressive hydrocephalus

Is there any increase in size of swelling while crying??

Meningomyelocele..hydrocephalus.... MRI.,surgical intervention.... Ventriculostomy..

Meningomyecele Need surgical intervention

Meningiomyelocele with Hydrocephalous. Needs Surgical intervention

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