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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2017; 78(01): e40-e45
DOI: 10.1055/s-0037-1599799
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Symptomatic Parietal Intradiploic Encephalocele—A Case Report and Literature Review

Chen Shi
1   Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Bruno Flores
1   Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Stephen Fisher
2   Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Samuel L Barnett
3   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
› Author Affiliations
Further Information

Publication History

22 October 2016

02 January 2017

Publication Date:
16 March 2017 (online)

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Abstract

Encephalocele is a rare condition that consists of herniation of cerebral matter through openings of dura and skull. A majority of encephaloceles are congenital and manifest in childhood. We present a case of a 45-year-old man presenting with contralateral hemiparesis and found to have an extremely rare phenomenon of a symptomatic posttraumatic parietal intradiploic encephalocele (IE) manifesting 36 years following pediatric traumatic head injury. Computed tomography and magnetic resonance imaging confirmed herniation of brain tissue into the intradiploic space. Surgical treatment with reduction of the encephalocele achieved near resolution of preoperative hemiparesis on follow-up. The pathogenesis and a literature review of IE are discussed.

Keywords

parietal intradiploic encephalocele - traumatic brain injury - history - computed tomography - magnetic resonance imaging

Disclosure

None.