Prognostic Factors in Patients with Occipital Encephalocele

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dc.contributor.authorKiymaz, Nejmi
dc.contributor.authorYilmaz, Nebi
dc.contributor.authorDemir, Ismail
dc.contributor.authorKeskin, Siddik
dc.date.accessioned2024-09-18T20:52:50Z
dc.date.available2024-09-18T20:52:50Z
dc.date.issued2010
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: An encephalocele is a herniation of the brain and the meninges through a skull defect protruding towards the exterior. The condition is not rare when compared to spinal dysraphisms, but the worldwide incidence is not precisely known. The cases involving occipital encephaloceles which we have diagnosed in our clinic and the surgical approaches for this rare condition are presented herein. Methods: Thirty patients who were diagnosed with occipital encephaloceles and referred to our Neurosurgery Clinic at the Yuzuncu Yil University, Faculty of Medicine Research Hospital between 2000 and 2009 were enrolled in this study. The age of the patient, size of the sac, pathologies that accompanied the condition, and treatments applied were assessed. Results: In the present study, 30 patients (22 girls and 8 boys), whose ages varied between newborn and 14 months, were evaluated. The encephalocele sac was located in the occipital region in 27 patients (90%) and in the occipitocervical region in 3 patients (3%). Nine (30%) of the 30 patients died; 2 in the preoperative period, 2 in the postoperative early period (0-7 days) and 5 in the late postoperative period first week to 3 months). With the exception of the 2 patients who died preoperatively, surgery was performed on all of the patients. The mortality rate in our study was 29%. Conclusions: Our study demonstrated that factors which determine the prognosis of patients diagnosed with occipital encephaloceles include the size of the sac, the contents of the neural tissue, hydrocephaly, infections, and pathologies that accompany the condition. An occipital encephalocele is a congenital neurologic condition with an extremely high morbidity and mortality in spite of the treatments rendered pre- and postoperatively. Copyright (C) 2010 S. Karger AG, Baselen_US
dc.identifier.doi10.1159/000314051
dc.identifier.endpage11en_US
dc.identifier.issn1016-2291
dc.identifier.issue1en_US
dc.identifier.pmid20453557en_US
dc.identifier.scopus2-s2.0-77951955362en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage6en_US
dc.identifier.urihttps://doi.org/10.1159/000314051
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11432
dc.identifier.volume46en_US
dc.identifier.wosWOS:000278964000002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofPediatric Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOccipital encephaloceleen_US
dc.subjectmortality rateen_US
dc.subjectOccipital encephaloceleen_US
dc.subjectsurgeryen_US
dc.titlePrognostic Factors in Patients with Occipital Encephaloceleen_US
dc.typeArticleen_US

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