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A 32yrs old female birth a baby at 10:10 am, baby vitals within in normal limits, Suggest your valuable opinion & line of management

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Occipital encephalocoel a type of ntd, Surgery may help, genetic counseling for prevention of recurrence in next pregnancy. Periconceptional folic acid, early diagnosis by usg in next pregnancy Before surgery, for this baby do MRI head.

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Encephaloceles are often accompanied by craniofacial abnormalities or other brain malformations. Symptoms may include neurologic problems, hydrocephalus (cerebrospinal fluid accumulated in the brain), spastic quadriplegia(paralysis of the limbs), microcephaly (an abnormally small head), ataxia (uncoordinated muscle movement), developmental delay, vision problems, mental and growth retardation, and seizures. Currently, the only effective treatment for encephaloceles is reparative surgery, generally performed during infancy

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Occipital encephalocoel a type of ntd, Surgery may help, genetic counseling for prevention of recurrence in next pregnancy. Periconceptional folic acid, early diagnosis by usg in next pregnancy Before surgery, for this baby do MRI head.

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Its a case of occipital encephalocele.The main treatment modality is surgery.Folic acid treatment will be helpful.

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Occipital encephalocele,cranial encephalocele Need further evaluation with MRI for distinction and rule out syndromic associations.

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Sub occipital encephalocele. Get MRI with MRV and MRA done. Consult Neurosurgeon. Operation is needed.

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If the growth is from the cervical spine with herniation of meninges, then it is meningocoele. If nervous tissue is also herniated with the meninges, then it is meningomyelocoele. Should be confirmed with USG, MRI and neurological assessment. Surgery is the only option with good prognosis in case of Meningocoele.

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SUGGESTIVE. OF.. ENCEPHALOCELE

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Encephlocoel Surgical excision and repair Genetic counselling in next pregnancy for diagnosis of any abnormality

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It is meningocele Refer to Neurosurgeon

Thanks Dr Dinesh Gupta
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