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The Korean Journal of Pathology 1988;22(4): 500-504.
Intracranial Encephalocele: an autopsy case of anterior basal type.
Hyun Wook Kang, Je G Chi, Tae Dong Park, Hum Rae Park
1Department of Pathology, Seoul National University, Seoul, Korea.
2Department of Obsteytrics & Gynecology, Seoul National University, Seoul, Korea.
3Soonchunhyang University Medical College, Seoul, Korea.
4Inchon Gil General Hospital, Korea.
Encephalocele is a relatively rare congenital anomaly which is classified into occipital, parietal, anterior syncipital and anterior basal type regarding to the protrusion site through the bony defect of the skull. Anterior basal type of encephalocele is important in view of it's pathogenesis as well as diagnostic difficulty because of invisibility on external appearance. We have experienced a case which could be best fit to anterior basal encephalocele. This type of encephalocele is extremely rare. This report deals with a case of deadborn of 34 weeks of gestation with body weight of 2400gm and head circumference of 32 cm. There was no evidence of protrusion of brain on external examination. On autopsy the normal brain structure was compressed by abnormal mass of brain with normal consistency which was found in the petrous portion of the parietal area and covered partly by the dura. In this case, there were another associated anomalies, such as atrophy of the left optic nerve, hemihypoplasia of the left mandible, patent ductus arteriosus, bilateral hydrocele, and Meckel's diverticulum.
Key Words: Brain hernia; encephalocele; sphenoid bone
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