Management of the giant occipital encephaloceles in the neonates

Highlights • Lateral position is considered to be safer than the supine position for endotracheal intubation during surgery, because the weight of the head is not transmitted to the sac; this eliminates the risk of compression-related preoperative rupture of the sac, or an inadvertent incresae in th...

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Bibliographic Details
Published in:Early human development 2016-12, Vol.103, p.229-234
Main Authors: Ozdemir, Nail, Ozdemir, Senem Alkan, Ozer, Esra Arun
Format: Article
Language:English
Subjects:
Advanced Basic Science
Encephalocele - pathology
Encephalocele - surgery
Encephaloceles
Female
Humans
Infant, Newborn
Monitoring, Intraoperative - methods
Neonatal and Perinatal Medicine
Neurosurgical Procedures - adverse effects
Neurosurgical Procedures - methods
Newborn
Patient Positioning - methods
Postoperative Complications
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Summary:Highlights • Lateral position is considered to be safer than the supine position for endotracheal intubation during surgery, because the weight of the head is not transmitted to the sac; this eliminates the risk of compression-related preoperative rupture of the sac, or an inadvertent incresae in the intracranial pressure. • Intraoperative blood and CSF loss, hypothermia, bradycardia and cardiac arrest are most important problems for surgery of giant occipital encephalocele. • The size of the encephalocele and the amount of neural tissue found in the sac correlates with the prognosis. • Neurological outcome depends upon the presence or absence of hydrocephaly, while intelligence level is mainly related to the absence of brain tissue into the sac. • Careful planned and early meticulous surgery results in a satisfactory outcome.
ISSN:0378-3782
1872-6232
DOI:10.1016/j.earlhumdev.2016.10.006