Encephalocele

Encephalocele (synonym: Hernia cerebri, brain break, outer Hirnprolaps, English: encephalocele ) denotes an inhibition malformation with faulty brain system or midline skull gap ( at root of nose, forehead, base of skull, back of the head ), through the bulge to parts of the brain to the outside, without the participation of the Hirnliquorräume ( Kenenzephalozele ) or with Hirnventrikelanteilen ( also corresponds Enzephalozystozele ), often including a meningeal sac ( Enzephalozystomeningozele ). The word is composed of ancient Greek ἐγκέφαλος enképhalos "brain" and the suffix - cele.

Diagnostics

To diagnose the three-dimensional representation of the bony defect belongs with the help of computed tomography ( CT) and magnetic resonance imaging Zeleninhalts.

Therapy

The treatment consists in the closure of the meninges, with a small encephalocele by erosion at the base and closing by Faszienplastik, with large Zelen shift back including plastic skull defect coverage. The repositioning of itself vorwölbendem by large gaps functional nerve tissue is rarely successful, usually the malformed tissue is ablated.

Urgent surgery is only at a CSF fistula due to infection or combined disturbance of CSF circulation, neurological deficits are surgically not improved.