Journal of Pediatric Neurology 2016; 14(01): 043-046
DOI: 10.1055/s-0036-1583276
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Resorption of an Occipital Meningocele: Computed Tomography and Magnetic Resonance Imaging Evaluation

Federica Vernuccio
1   Section of Radiology, DIBIMED, University Hospital “Paolo Giaccone,” Palermo, Italy
,
Elena Murmura
1   Section of Radiology, DIBIMED, University Hospital “Paolo Giaccone,” Palermo, Italy
,
Ettore Piro
2   Department of Sciences for Health Promotion and Mother and Child Care “Giuseppe D'Alessandro,” University Hospital “Paolo Giaccone,” Palermo, Italy
,
Paolo Arculeo
3   Department of Neuroradiology, ARNAS Civico, Di Cristina e Benfratelli, Palermo, Italy
,
Maria Pia Pappalardo
3   Department of Neuroradiology, ARNAS Civico, Di Cristina e Benfratelli, Palermo, Italy
,
Giuseppe Lo Re
1   Section of Radiology, DIBIMED, University Hospital “Paolo Giaccone,” Palermo, Italy
,
Antonio Lo Casto
1   Section of Radiology, DIBIMED, University Hospital “Paolo Giaccone,” Palermo, Italy
,
Sergio Salerno
1   Section of Radiology, DIBIMED, University Hospital “Paolo Giaccone,” Palermo, Italy
› Author Affiliations
Further Information

Publication History

18 March 2015

18 April 2015

Publication Date:
28 April 2016 (online)

Abstract

Cranial meningocele is a very rare variant of encephalocele. Meningocele can be associated with other disorders and may cause complications. Therapy is usually based on surgical treatment. To our knowledge, we describe the first case of spontaneous resorption of an occipital meningocele in a full-term newborn boy. A full-term newborn was noted to have a large non-skin covered, semitransparent cystic lump in the occipital bone. He underwent computed tomography and a diagnosis of meningocele was proposed. After a few hours, the cystic lump spontaneously readsorbed. After 1 week the patient underwent magnetic resonance. Histology confirmed the diagnosis.

 
  • References

  • 1 Martínez-Lage JF, Poza M, Sola J , et al. The child with a cephalocele: etiology, neuroimaging, and outcome. Childs Nerv Syst 1996; 12 (9) 540-550
  • 2 Lumenta CB, Di Rocco C, Haase J, Mooij JJA. European Manual of Medicine–Neurosurgery. Berlin Heidelberg: Springer-Verlag; 2010
  • 3 Muzumdar DP, Goel A. Giant occipital meningocele as a presenting feature of Dandy-Walker syndrome. Indian Pediatr 2004; 41 (8) 863-864
  • 4 ten Donkelaar HJ, Hamel BC, Hartman E, van Lier JA, Wesseling P. Intestinal mucosa on top of a rudimentary occipital meningocele in amniotic rupture sequence: disorganization-like syndrome, homeotic transformation, abnormal surface encounter or endoectodermal adhesion?. Clin Dysmorphol 2002; 11 (1) 9-13
  • 5 Groen RJ, van Ouwerkerk WJ. Cerebellar dermoid tumor and occipital meningocele in a monozygotic twin: clues to the embryogenesis of craniospinal dysraphism. Childs Nerv Syst 1995; 11 (7) 414-417
  • 6 Ko AL, Gabikian P, Perkins JA, Gruber DP, Avellino AM ; Ko AL1. Endoscopic repair of a rare basioccipital meningocele associated with recurrent meningitis. J Neurosurg Pediatr 2010; 6 (2) 188-192
  • 7 Nejat F, Kazmi SS. Spontaneous resorption of a sacral meningocele. Case illustration. J Neurosurg 2005; 103 (1, Suppl): 94
  • 8 Hunt CD, Vaicys C. Spontaneous resolution of a sphenoid sinus encephalocele. Case illustration. J Neurosurg 2000; 92 (3) 501
  • 9 Morón FE, Morriss MC, Jones JJ, Hunter JV. Lumps and bumps on the head in children: use of CT and MR imaging in solving the clinical diagnostic dilemma. Radiographics 2004; 24 (6) 1655-1674
  • 10 Laurence KM, Tew BJ. Natural history of spina bifida cystica and cranium bifidum cysticum. Major central nervous system malformations in South Wales. IV. Arch Dis Child 1971; 46 (246) 127-138
  • 11 Rengachary SS, Wilkins RH , ed. Neurosurgical Operative Atlas. Park Ridge, IL: American Association of Neurological Surgeons; 1997