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[PMID]:28452710
[Au] Autor:Loftus PA; Wise SK; Daraei P; Baugnon K; DelGaudio JM
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Emory University, Atlanta, Georgia, USA.
[Ti] Título:Excavating meningoencephaloceles: A newly recognized entity.
[So] Source:Am J Rhinol Allergy;31(2):127-134, 2017 Mar 01.
[Is] ISSN:1945-8932
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Spontaneous cerebrospinal fluid (CSF) leaks are largely attributed to idiopathic intracranial hypertension and typically present as skull base defects with or without prolapse of intracranial contents. However, in our practice, we have encountered a distinct type of spontaneous CSF leak that presents in a different manner. OBJECTIVE: To discuss a newly-classified, difficult to treat, subset of spontaneous CSF leaks that present as excavation of the bone of the skull base in a tunnel- or canal-like fashion by a meningocele or meningoencephalocele instead of as a localized area of bony dehiscence. METHODS: A retrospective review was performed at a tertiary care rhinology practice to identify a subset of CSF leak patients with an excavating/canal-like skull base defect visualized radiographically on computed tomography (CT) scan or magnetic resonance imaging and/or endoscopically in the operating room. RESULTS: The cohort of patients consisted of 7 females and 1 male with an average age of 53.6 years and a self-reported race of 4:3:1 African-American:Caucasian:Indian. All patients presented with CSF rhinorrhea. The most common leak site was the cribriform and upper septum. Six of the 8 patients had multiple defects and/or progression of their skull base defects, and 5 patients required multiple and/or repeat repairs in the operating room. Seven of the 8 patients underwent a cisternogram because the excavating nature of the leaks made it difficult to identify the specific leak site on high-resolution CT scan alone. CONCLUSION: In spontaneous CSF leaks that are difficult to identify or recur soon after a proper repair, an excavating pattern should be considered. Failure to recognize this type of leak and all of its tributaries, to fully unroof the excavated bone to completely resect the meningocele, and to visualize and close the site of origin will likely result in failure and recurrence of CSF leak.
[Mh] Termos MeSH primário: Vazamento de Líquido Cefalorraquidiano/diagnóstico
Encefalocele/diagnóstico
Meningocele/diagnóstico por imagem
Base do Crânio/diagnóstico por imagem
Base do Crânio/patologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Vazamento de Líquido Cefalorraquidiano/cirurgia
Encefalocele/cirurgia
Endoscopia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meningocele/cirurgia
Meia-Idade
Base do Crânio/cirurgia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.2500/ajra.2017.31.4413


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[PMID]:28885087
[Au] Autor:Gandhoke GS; Goldschmidt E; Kellogg R; Greene S
[Ad] Endereço:Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and.
[Ti] Título:Encephalocele development from a congenital meningocele: case report.
[So] Source:J Neurosurg Pediatr;20(5):419-422, 2017 Nov.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A fetal MRI study obtained at 21 weeks' gestation revealed a suboccipital meningocele without hydrocephalus. One day after term birth, MRI demonstrated an acquired cerebellar encephalocele, and MRI obtained 5 months later showed progressive enlargement of the encephalocele, still without obvious hydrocephalus. The patient underwent an operation in which an external ventricular drain was placed, the grossly normal cerebellum was reduced into the posterior fossa without resection, and the dural defect was closed. The drain was weaned out over 5 days, and no ventriculoperitoneal shunt was placed. Postoperative MR images revealed normal cerebellum and no hydrocephalus. The patient is developmentally normal. Meningocele and encephalocele are embryologically distinct. An acquired encephalocele could develop from hydrocephalus (which was not present in this case), or secondary to the lower resistance to expansion into the dural defect of the meningocele relative to the resistance to expansion of the fetal skull. The cerebellar tissue was normal in this case, and was thus preserved. The developmental prognosis is excellent. To the authors' knowledge, this is the first reported case of this occurrence. It is important to differentiate between congenital and acquired encephalocele etiologies, because resection of the cerebellar tissue in an acquired encephalocele (as is routinely done in cases of congenital encephalocele) would be expected to result in neurological deficits.
[Mh] Termos MeSH primário: Encefalocele/etiologia
Meningocele/complicações
[Mh] Termos MeSH secundário: Encéfalo/diagnóstico por imagem
Encéfalo/crescimento & desenvolvimento
Encéfalo/cirurgia
Encefalocele/diagnóstico por imagem
Encefalocele/cirurgia
Feminino
Seres Humanos
Lactente
Imagem por Ressonância Magnética
Meningocele/diagnóstico por imagem
Meningocele/cirurgia
Diagnóstico Pré-Natal
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.3171/2017.6.PEDS17178


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[PMID]:28731403
[Au] Autor:Heidekrueger PI; Thu M; Mühlbauer W; Holm-Mühlbauer C; Schucht P; Anderl H; Schoeneich H; Aung K; Mg Ag M; Thu Soe Myint A; Juran S; Aung T; Ehrl D; Ninkovic M; Broer PN
[Ad] Endereço:Department of Plastic, Reconstructive, Hand, and Burn Surgery, StKM-Klinikum Bogenhausen, Academic Teaching Hospital, Technical University Munich.
[Ti] Título:Safe and sustainable: the extracranial approach toward frontoethmoidal meningoencephalocele repair.
[So] Source:J Neurosurg Pediatr;20(4):334-340, 2017 Oct.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Although rare, frontoethmoidal meningoencephaloceles continue to pose a challenge to neurosurgeons and plastic reconstructive surgeons. Especially when faced with limited infrastructure and resources, establishing reliable and safe surgical techniques is of paramount importance. The authors present a case series in order to evaluate a previously proposed concise approach for meningoencephalocele repair, with a focus on sustainability of internationally driven surgical efforts. METHODS Between 2001 and 2016, a total of 246 patients with frontoethmoidal meningoencephaloceles were treated using a 1-stage extracranial approach by a single surgeon in the Department of Neurosurgery of the Yangon General Hospital in Yangon, Myanmar, initially assisted by European surgeons. Outcomes and complications were evaluated. RESULTS A total of 246 patients (138 male and 108 female) were treated. Their ages ranged from 75 days to 32 years (median 8 years). The duration of follow-up ranged between 4 weeks and 16 years (median 4 months). Eighteen patients (7.3%) showed signs of increased intracranial pressure postoperatively, and early CSF rhinorrhea was observed in 27 patients (11%), with 5 (2%) of them requiring operative dural repair. In 8 patients, a decompressive lumbar puncture was performed. There were 8 postoperative deaths (3.3%) due to meningitis. In 15 patients (6.1%), recurrent herniation of brain tissue was observed; this herniation led to blindness in 1 case. The remaining patients all showed good to very good aesthetic and functional results. CONCLUSIONS A minimally invasive, purely extracranial approach to frontoethmoidal meningoencephalocele repair may serve well, especially in middle- and low-income countries. This case series points out how the frequently critiqued lack of sustainability in the field of humanitarian surgical missions, as well as the often-cited missing aftercare and dependence on foreign supporters, can be circumvented by meticulous training of local surgeons.
[Mh] Termos MeSH primário: Descompressão Cirúrgica/métodos
Encefalocele/cirurgia
Osso Frontal/cirurgia
Meningocele/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170722
[St] Status:MEDLINE
[do] DOI:10.3171/2017.5.PEDS1762


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[PMID]:28621617
[Au] Autor:Das P; Goyal T; Hunt MA
[Ad] Endereço:Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota.
[Ti] Título:Intrathoracic meningocele associated with neurofibromatosis Type 1 and a novel technique for surgical repair: case report.
[So] Source:J Neurosurg Spine;27(3):291-294, 2017 Sep.
[Is] ISSN:1547-5646
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Neurofibromatosis Type 1 (NF1) is a neurocutaneous disorder that can have associated spinal abnormalities related to both bone and dural dysplasia. Thoracic meningoceles are one spine anomaly associated with NF1, although they are a fairly uncommon pathology. Surgical techniques to treat these meningoceles, usually undertaken only when the patient is symptomatic, are targeted at decreasing the size of the protrusion and improving lung capacity. Surgical interventions discussed in the literature include shunting the pseudomeningocele, primary repair with laminectomy, thoracoscopic plication, and reinforcement of the closure with cement, muscle, or fascia. Authors here report the case of a 43-year-old woman with NF1 with worsening pulmonary function tests and in whom shunting of the pseudomeningocele failed. Subsequently, a posterolateral thoracotomy was performed. The dura mater was reconstructed and primarily closed. On this closure a Gore-Tex soft-tissue patch was placed along with polypropylene mesh and Evicel fibrin sealant, followed by titanium mesh. At the end of the procedure, a chest tube was left in place and therapeutic pneumoperitoneum was performed to decrease the dead space as the lung did not fully expand with positive-pressure ventilation. The patient's pulmonary function tests improved after the procedure. Thoracic meningoceles are uncommon and difficult pathologies to treat surgically. Although shunting is arguably the least invasive surgical option, it can fail in some patients. When it does fail, there are other options that require a multidisciplinary approach and careful attention to the dural closure and reinforcing layers.
[Mh] Termos MeSH primário: Meningocele/complicações
Meningocele/cirurgia
Neurofibromatose 1/complicações
Neurofibromatose 1/cirurgia
Procedimentos Cirúrgicos Reconstrutivos
Toracotomia
[Mh] Termos MeSH secundário: Adulto
Dura-Máter/cirurgia
Feminino
Seres Humanos
Meningocele/diagnóstico por imagem
Neurofibromatose 1/diagnóstico por imagem
Procedimentos Cirúrgicos Reconstrutivos/métodos
Reoperação
Toracotomia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE
[do] DOI:10.3171/2017.2.SPINE16699


  5 / 2309 MEDLINE  
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[PMID]:28512196
[Au] Autor:Masek J; Andersson ER
[Ad] Endereço:Karolinska Institutet, Huddinge 14183, Sweden.
[Ti] Título:The developmental biology of genetic Notch disorders.
[So] Source:Development;144(10):1743-1763, 2017 05 15.
[Is] ISSN:1477-9129
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Notch signaling regulates a vast array of crucial developmental processes. It is therefore not surprising that mutations in genes encoding Notch receptors or ligands lead to a variety of congenital disorders in humans. For example, loss of function of Notch results in Adams-Oliver syndrome, Alagille syndrome, spondylocostal dysostosis and congenital heart disorders, while Notch gain of function results in Hajdu-Cheney syndrome, serpentine fibula polycystic kidney syndrome, infantile myofibromatosis and lateral meningocele syndrome. Furthermore, structure-abrogating mutations in result in CADASIL. Here, we discuss these human congenital disorders in the context of known roles for Notch signaling during development. Drawing on recent analyses by the exome aggregation consortium (EXAC) and on recent studies of Notch signaling in model organisms, we further highlight additional Notch receptors or ligands that are likely to be involved in human genetic diseases.
[Mh] Termos MeSH primário: Doenças Genéticas Inatas/embriologia
Doenças Genéticas Inatas/genética
Receptores Notch/genética
[Mh] Termos MeSH secundário: Anormalidades Múltiplas/embriologia
Anormalidades Múltiplas/genética
Síndrome de Alagille/embriologia
Síndrome de Alagille/genética
Animais
Biologia do Desenvolvimento
Displasia Ectodérmica/embriologia
Displasia Ectodérmica/genética
Síndrome de Hajdu-Cheney/embriologia
Síndrome de Hajdu-Cheney/genética
Hérnia Diafragmática/embriologia
Hérnia Diafragmática/genética
Seres Humanos
Deformidades Congênitas dos Membros/embriologia
Deformidades Congênitas dos Membros/genética
Meningocele/embriologia
Meningocele/genética
Dermatoses do Couro Cabeludo/congênito
Dermatoses do Couro Cabeludo/embriologia
Dermatoses do Couro Cabeludo/genética
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Receptors, Notch)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171126
[Lr] Data última revisão:
171126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170518
[St] Status:MEDLINE
[do] DOI:10.1242/dev.148007


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[PMID]:28353003
[Au] Autor:Martinoni M; Marucci G; Gagliardini G; Tinuper P; Michelucci R; Giulioni M
[Ad] Endereço:Neurosurgery Unit, Department of Neurosciences, NOCSAE Modena Hospital, Via Pietro Giardini, 1355, Baggiovara, 41126, Modena, MO, Italy. matteo.martinoni@gmail.com.
[Ti] Título:Coexistence of meningoencephalocele and hippocampal sclerosis: a new type of dual pathology.
[So] Source:Acta Neurochir (Wien);159(5):767-769, 2017 May.
[Is] ISSN:0942-0940
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:Both temporal lobe meningoencephalocele (TE) and hippocampal sclerosis (HS) are causes of drug-resistant temporal lobe epilepsy. Spontaneous TE constitutes a rare but well-known and increasingly recognised cause of refractory epilepsy. It is well known that HS may be associated with another neocortical lesion (dual pathology). Here we report for the first time a new type of dual pathology; namely, the coexistence of temporal pole meningoencephalocele and HS.
[Mh] Termos MeSH primário: Epilepsia Resistente a Medicamentos/epidemiologia
Encefalocele/epidemiologia
Epilepsia do Lobo Temporal/epidemiologia
Hipocampo/patologia
Meningocele/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Seres Humanos
Masculino
Esclerose/epidemiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1007/s00701-017-3153-9


  7 / 2309 MEDLINE  
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[PMID]:28279771
[Au] Autor:Gupta S; Chunnilal J; Mehrotra M; Mehrotra A; Srivastava AK; Das KK
[Ad] Endereço:Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
[Ti] Título:Recurrent Abortion and Tethered Cord Syndrome Caused by Anterior Sacral Meningocele: A Report of a Rare Case with a Review of the Literature.
[So] Source:World Neurosurg;101:815.e5-815.e7, 2017 May.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Anterior sacral meningocele is a rare congenital anomaly. CASE DESCRIPTION: This rare anomaly is described in a young woman who presented with recurrent abortion and later with a huge palpable mass of pelvic origin, measuring 14 × 12 cm. CONCLUSIONS: The various radiologic features, associations such as presacral dermoid as a part of incomplete Currarino syndrome, and the management options available are also discussed.
[Mh] Termos MeSH primário: Aborto Habitual/cirurgia
Meningocele/cirurgia
Defeitos do Tubo Neural/cirurgia
Sacro/cirurgia
[Mh] Termos MeSH secundário: Aborto Habitual/diagnóstico por imagem
Aborto Habitual/etiologia
Feminino
Seguimentos
Seres Humanos
Meningocele/complicações
Meningocele/diagnóstico por imagem
Defeitos do Tubo Neural/diagnóstico por imagem
Defeitos do Tubo Neural/etiologia
Gravidez
Sacro/diagnóstico por imagem
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE


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[PMID]:28214636
[Au] Autor:Aggarwal V; Nair P; Shivhare P; Jayadevan ER; Felix V; Abraham M; Nair S
[Ad] Endereço:Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences (SCTIMST), Trivandrum, India.
[Ti] Título:A Case of Evolving Bilateral Sphenoidal Meningoencephaloceles: Case Report and Review of the Literature.
[So] Source:World Neurosurg;100:708.e11-708.e17, 2017 Apr.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The evolution of sphenoid sinus meningoencephaloceles and cerebrospinal fluid (CSF) rhinorrhea is poorly understood. CASE DESCRIPTION: We present a case demonstrating the gradual evolution of encephaloceles from both the lateral walls of a previously normal sphenoid sinus in a patient with dural arteriovenous fistula; the CSF leak that developed after staged embolization of the dural arteriovenous fistula was managed by an endoscopic endonasal transpterygoid approach. CONCLUSIONS: We suggest that over a period of time, chronic elevation of intracranial pressure can result in gradual erosion of the lateral wall of the sphenoid with development of meningoencephaloceles and CSF leaks.
[Mh] Termos MeSH primário: Encefalocele/diagnóstico por imagem
Encefalocele/fisiopatologia
Meningocele/diagnóstico por imagem
Meningocele/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Malformações Vasculares do Sistema Nervoso Central/complicações
Malformações Vasculares do Sistema Nervoso Central/diagnóstico por imagem
Malformações Vasculares do Sistema Nervoso Central/cirurgia
Vazamento de Líquido Cefalorraquidiano/diagnóstico por imagem
Vazamento de Líquido Cefalorraquidiano/etiologia
Vazamento de Líquido Cefalorraquidiano/cirurgia
Progressão da Doença
Encefalocele/complicações
Seres Humanos
Masculino
Meningocele/complicações
Seio Esfenoidal
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170220
[St] Status:MEDLINE


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[PMID]:28185017
[Au] Autor:Kurzbuch AR; Magdum S; Jayamohan J
[Ad] Endereço:Department of Pediatric Neurosurgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. kurzbuch@web.de.
[Ti] Título:Intradiploic pseudomeningocele and ossified occipitocervical pseudomeningocele after decompressive surgery for Chiari I malformation: report of two cases and literature review.
[So] Source:Neurosurg Rev;40(2):345-350, 2017 Apr.
[Is] ISSN:1437-2320
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Intradiploic cerebrospinal fluid (CSF) collections are rare findings. The authors describe two pediatric patients with iatrogenically induced occipital CSF collections after decompressive surgery for Chiari I malformation. The first patient presents a large occipital intradiploic pseudomeningocele and the second patient an intradiploic pseudomeningocele merging with an ossified occipitocervical pseudomeningocele. Though being rarities after decompression for Chiari I malformation, intradiploic fluid collection and ossified pseudomeningocele should be considered if patients represent with aggravating presurgical or new symptoms.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/cirurgia
Vazamento de Líquido Cefalorraquidiano/diagnóstico por imagem
Descompressão Cirúrgica/efeitos adversos
Procedimentos Neurocirúrgicos/efeitos adversos
[Mh] Termos MeSH secundário: Malformação de Arnold-Chiari/diagnóstico por imagem
Vazamento de Líquido Cefalorraquidiano/etiologia
Criança
Feminino
Forame Magno/cirurgia
Seres Humanos
Imagem por Ressonância Magnética
Meningocele/diagnóstico por imagem
Meningocele/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170211
[St] Status:MEDLINE
[do] DOI:10.1007/s10143-017-0828-x


  10 / 2309 MEDLINE  
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[PMID]:28086878
[Au] Autor:Kisipan ML; Orenge CO; Gacheru DN; Ngure RM
[Ad] Endereço:Department of Veterinary Anatomy and Physiology, Faculty of Veterinary Medicine and Surgery, Egerton University, P.O. Box 536-20115, Egerton, Kenya. kisipanm@gmail.com.
[Ti] Título:A case of cranium bifidum with meningocele in Ayrshire calf.
[So] Source:BMC Vet Res;13(1):20, 2017 Jan 13.
[Is] ISSN:1746-6148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Congenital cranial bone defects predispose to herniation of meninges, sometimes with brain tissue involvement, to form a cerebrospinal fluid (CSF)-filled cyst in the head. Such defects mainly results from focal failure of neural tube closure during fetal development and has been reported in various species of domestic mammals. CASE PRESENTATION: A one week old Ayrshire calf with a fluctuant swelling on parieto-occipital region of the head was referred to the faculty. The calf was always lying on lateral recumbency and exhibited resistance to deep palpation around the swelling and neck flexion. Embedded to the midline of the dorso-caudal surface of the cyst's wall was a hard longitudinally oriented structure. The case was diagnosed as meningocele by means of radiographic examination. As the likelihood to full recovery was greatly reduced due to the negative impact already meted on brain tissue by intracranial pressure, the calf was euthanized on grounds of animal welfare and the diagnosis confirmed by anatomopathological findings which also revealed a circular bone defect in parieto-occipital region of the skull vault and a flattened bony structure embedded to the cyst's wall. CONCLUSION: Anatomopathological findings confirmed the diagnosis as cranial bifidum with meningocele at the parieto-occipital region of the skull vault. The presence of a bony structure embedded to the wall of meningeal sac was rather unusual and could not be sufficiently explained. It was however thought to, most likely, represent a part of interparietal bone that failed to get incorporated into squamous part of occipital bone as a result of the defect. The report also highlights challenges that work against timely delivery of urgent veterinary interventions in rural set ups of Africa and rest of the developing world, often leaving veterinarians with animal welfare consideration as main determinant of intervention measures.
[Mh] Termos MeSH primário: Doenças dos Bovinos/congênito
Encefalocele/veterinária
Meningocele/veterinária
[Mh] Termos MeSH secundário: Animais
Animais Recém-Nascidos
Bovinos
Doenças dos Bovinos/patologia
Encefalocele/patologia
Masculino
Meningocele/congênito
Meningocele/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170115
[St] Status:MEDLINE
[do] DOI:10.1186/s12917-016-0936-9



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde