Abstract
BACKGROUNDDisruptions to the integrity of the inner table and trabeculae of the calvaria are rare phenomena. Increasingly rare is the phenomenon of herniation of brain parenchyma through the defects in the skull causing neurological deficit. Surgical intervention is commonly performed but is fraught with risk of brain tissue loss.OBSERVATIONSThe authors present a case of a 78-year-old White male presenting with strokelike symptoms who was found to have an intradiploic encephalocele that was successfully treated with surgical intervention and neuroplastic reconstruction of the anatomical deficit. The patient had a marked recovery and had near-complete resolution of symptoms.LESSONSThis notably rare phenomenon resolved with neurosurgical intervention, sparing the parenchyma, and provided the patient with perceivably normal contour of the head using a collaborative approach with neuroplastic intervention.
Highlights
Disruptions to the integrity of the inner table and trabeculae of the calvaria are rare phenomena
Observations Intradiploic encephaloceles are relatively rare phenomena that predominately occur in children and few adults.[1]
Primary encephaloceles are described as inherited imperfections in the meninges of the skull precipitating the erosion and herniation
Summary
Disruptions to the integrity of the inner table and trabeculae of the calvaria are rare phenomena. Rare is the phenomenon of herniation of brain parenchyma through the defects in the skull causing neurological deficit. OBSERVATIONS The authors present a case of a 78-year-old White male presenting with strokelike symptoms who was found to have an intradiploic encephalocele that was successfully treated with surgical intervention and neuroplastic reconstruction of the anatomical deficit. LESSONS This notably rare phenomenon resolved with neurosurgical intervention, sparing the parenchyma, and provided the patient with perceivably normal contour of the head using a collaborative approach with neuroplastic intervention. The purpose of this report is to describe a case of a 78-year-old White right-handed male who experienced symptoms synonymous with a cerebrovascular accident and was found to have an intradiploic encephalocele that was treated with neurosurgical intervention and neuroplastic reconstruction of the skull. After undergoing surgery with both techniques, the patient had a full recovery and is free of visible defect to the afflicted side of his head
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