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Review
. 2022 Sep;38(9):1683-1688.
doi: 10.1007/s00381-022-05551-2. Epub 2022 May 19.

Occipital encephalocele associated with Dandy-Walker malformation: a case-based review

Felipe Gutierrez  1 , Matheus Ballestero  2 , David Herrera  3 , Catalina Gonzalez  3 , Alejandra Cardona  3 , Laura Mora  4
Affiliations
Review

Occipital encephalocele associated with Dandy-Walker malformation: a case-based review

Felipe Gutierrez et al. Childs Nerv Syst. 2022 Sep.

Abstract

Introduction: Occipital encephalocele is a brain malformation that has been remotely associated with Dandy-Walker; only case reports and very small series have been published so far; therefore, their behavior and management are still under investigation. The goal of the present case-based review is to provide a summary of the state of the art in this association.

Methods and results: The pertinent literature has been reviewed, and an exemplary case has been reported (an 11-month-old female with Dandy-Walker malformation and occipital encephalocele). So far, 33 cases have been described, with a mean age at surgery of 5, 1 day). The majority of the cases tend to present with hydrocephalus. There are no specific surgery approaches or global consensus about this association. The management possibly relies on surgery with shunt or encephalocele excision but without a dedicated protocol yet.

Conclusions: The clinical research on occipital encephalocele in association with Dandy-Walker malformation is just at the beginning. New targets and wide-ranging clinical trials are needed to get an optimal management protocol.

Keywords: Dandy-Walker malformation; Occipital encephalocele; Occipital meningocele.

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References

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