Congenital duplication of the superior sagittal sinus and parietal encephalocele after vacuum extraction delivery

A newly-born infant with a congenital dural and bony defect and an associated short-segmented duplication of the superior sagittal sinus suffered from herniation and infarction of parietal brain tissue secondary to vacuum extraction. This ultimately led to the formation of a subgaleal cerebrospinal...

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Bibliographic Details
Main Authors: Neumann, Jan-Oliver (Author) , Herweh, Christian (Author) , Halatsch, Marc-Eric (Author)
Format: Article (Journal)
Language:English
Published: 2010
In: Acta neurochirurgica
Year: 2010, Volume: 152, Issue: 4, Pages: 713-716
ISSN:0942-0940
DOI:10.1007/s00701-009-0470-7
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00701-009-0470-7
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Author Notes:Jan-Oliver Neumann, Christian Herweh, Marc-Eric Halatsch

MARC

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520 |a A newly-born infant with a congenital dural and bony defect and an associated short-segmented duplication of the superior sagittal sinus suffered from herniation and infarction of parietal brain tissue secondary to vacuum extraction. This ultimately led to the formation of a subgaleal cerebrospinal fluid (CSF) collection. Initial operative closure of the encephalocele was performed by attaching a galeal flap to the periostium surrounding the congenital defect. As the bony defect developed characteristics of a growing fracture later on, dural repair, transplantation of a split-bone flap and, finally, the insertion of a ventriculoperitoneal shunt became necessary. This case affirms that stringent indication and cautious usage of vacuum-assisted delivery is strongly recommended, especially in view of the possibility that undetected congenital cranial, vascular and/or cerebral alterations may be present. 
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