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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.