Abstract
We report the case of a newborn baby with a large congenital skull defect owing to Adams-Oliver syndrome. An initial attempt at conservative treatment failed and led to disruption of the leptomeningeal membrane and prolapse of the brain. After local debridement, delayed and stepwise surgical closure was complicated by cerebrospinal fluid leakage, which required the insertion of a cerebrospinal fluid shunt. This case report highlights the potential serious risks of nonsurgical management of largely extended congenital skull defects.
Copyright © 2010 Elsevier Inc. All rights reserved.
MeSH terms
-
Cerebrospinal Fluid Leak
-
Cerebrospinal Fluid Rhinorrhea / surgery
-
Cerebrospinal Fluid Shunts / methods
-
Ectodermal Dysplasia / diagnostic imaging
-
Ectodermal Dysplasia / pathology*
-
Ectodermal Dysplasia / therapy*
-
Encephalocele / diagnostic imaging
-
Encephalocele / pathology*
-
Encephalocele / therapy*
-
Humans
-
Infant, Newborn
-
Limb Deformities, Congenital / diagnostic imaging
-
Limb Deformities, Congenital / pathology
-
Limb Deformities, Congenital / therapy
-
Magnetic Resonance Imaging
-
Necrosis / pathology
-
Radiography
-
Scalp / abnormalities
-
Scalp / pathology
-
Scalp Dermatoses / congenital
-
Scalp Dermatoses / diagnostic imaging
-
Scalp Dermatoses / pathology
-
Scalp Dermatoses / therapy
-
Skull / abnormalities*
-
Skull / pathology