Occipital cephalocele

Fabrice Cuillier, MD.*, Y. Yu-Tim, MD.*, J.Bideault, MD**, P.Fossati, MD***, J.L.Alessandri, MD****.

*  Service de Gynécologie, Hôpital F. Guyon, 97400 Saint-Denis, Réunion, France.
** Service de Gynécologie, CH Saint-Benoit, 97400 Saint-Benois, Ile de la Réunion, France.
***Service de radiologie, CHR Félix Guyon, 97400 Saint-Denis, Ile de la Réunion, France.
****Service de Néonatologie, CHR Félix Guyon, 97400 Saint-Denis, Ile de la Réunion, France. 

                                                                                                                            

Case Report

The following images represent a case of occipital cephalocele diagnosed at the 23 weeks of gestation. Cephalocele was discovered during the ultrasound examination performed at 23 weeks. The diagnose of the isolated cephalocele was confirmed on the MRI examination done at 28 and 34 weeks of gestation, respectively. No other brain anomaly was diagnosed. Patient delivered at 38 weeks via planned cesarian section. Surgery of the neonate was schedulled after the delivery.

Images 1,2: Image 1 shows the axial view of the fetal brain, arrow indicates the cephalocele. Image 2 shows the cephalocele located at the occipital region.

 

Images 3,4: Image 3 shows the occipital region of the fetal head with cephalocele. Image 4 shows a detail of the cephalocele.

 

Images 5,6: Images show the cephalocele and the skull defect through which the brain content herniates.

 

Images 7,8: Images show a meningocele.

 

Images 9,10: Image 9 shows the herniated brain tissue, indicated by arrow, note the skull defect. Image 10 shows the 3D view of the cephalocele surface.

 

Images 11,12: Images show a 3D view of the occipital region, sagittal view of the cephalocele.

 

Images 13,14: Image 13 shows the 3D view of the skull defect. Image 14 shows MRI examination, the sagittal view of the fetal head; cephalocele is indicated by the arrow.

 

Images 15, 16: Image 15 shows the transverse view of the fetal brain, arrow indicates the cephalocele. Image 16 shows the lateral ventricles and the cephalocele. 

 

Image 17: Neonate with the cephalocele, picture was taken after the delivery.

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