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* [[Pediatrics]]
* [[Pediatrics]]
<div class="card w-95" style="background-color:#fadbc1;">
    <div class="card-header">
        <h1>KEY CONCEPTS</h1>
    </div>
    <div class="card-body">
        <ul>
            <li>Cranial dysraphisms range in severity from minimally symptomatic dermal sinus tracts to large encephaloceles.</li>
            <li>The overall incidence of encephaloceles is declining, possibly due to dietary folate supplementation.</li>
            <li>Encephaloceles can occur in various sites and exhibit variation in size, shape, and contents.</li>
            <li>Prenatal diagnosis of encephaloceles is common, typically confirmed by elevated α-fetoprotein levels and ultrasound.</li>
            <li>Surgical repair of extreme herniation may not provide significant benefits and requires counseling and consultation.</li>
            <li>Surgical treatment aims to reduce herniation, preserve viable brain, and reconstruct craniofacial defects.</li>
            <li>Prognosis varies based on factors specific to the location and anatomy of the encephalocele.</li>
            <li>Cranial meningoceles can occur in diverse locations, and complete excision with primary dural closure leads to a good prognosis.</li>
            <li>Dermal sinus tracts present as cutaneous dimples and are often associated with a cyst. Total en bloc resection is the management goal.</li>
            <li>Complete resections of dermal sinus tracts have a favorable prognosis and low recurrence rates.</li>
        </ul>
    </div>
</div>

Revision as of 08:57, 12 September 2023




KEY CONCEPTS

  • Cranial dysraphisms range in severity from minimally symptomatic dermal sinus tracts to large encephaloceles.
  • The overall incidence of encephaloceles is declining, possibly due to dietary folate supplementation.
  • Encephaloceles can occur in various sites and exhibit variation in size, shape, and contents.
  • Prenatal diagnosis of encephaloceles is common, typically confirmed by elevated α-fetoprotein levels and ultrasound.
  • Surgical repair of extreme herniation may not provide significant benefits and requires counseling and consultation.
  • Surgical treatment aims to reduce herniation, preserve viable brain, and reconstruct craniofacial defects.
  • Prognosis varies based on factors specific to the location and anatomy of the encephalocele.
  • Cranial meningoceles can occur in diverse locations, and complete excision with primary dural closure leads to a good prognosis.
  • Dermal sinus tracts present as cutaneous dimples and are often associated with a cyst. Total en bloc resection is the management goal.
  • Complete resections of dermal sinus tracts have a favorable prognosis and low recurrence rates.