Korean Journal of Pediatrics 2006;49(9):1000-1004.
Published online September 15, 2006.
Two cases of congenital atretic encephalocele misdiagnosed as dermoid cyst
Jae-Hui Kim1, Jae-Min Cho2, Jin-Myung Jung3, Eun-Sil Park1, Ji-Hyun Seo1, Jae-Young Lim1, Chan-Hoo Park1, Hyang-Ok Woo1, Hee-Shang Youn1
1Departments of Pediatrics, College of Medicine, Gyeongsang National University, Jinju, Korea
2Departments of Radiology, College of Medicine, Gyeongsang National University, Jinju, Korea
3Departments of Neurosurgery, College of Medicine, Gyeongsang National University, Jinju, Korea
유피낭종으로 오인된 atretic encephalocele 2례
김재희1, 조재민2, 정진명3, 박은실1, 서지현1, 임재영1, 박찬후1, 우향옥1, 윤희상1
1경상대학교 의과대학 소아과학교실
2경상대학교 의과대학 방사선과학교실
3경상대학교 의과대학 신경외과학교실
Chan-Hoo Park, Email: aroma@gnu.ac.kr
Atretic cephalocele is a degenerative form of encephalocele, which is detected as a cystic mass in the head, primarily in infants. Its presentation and prognosis vary and depend on various factors, including the nature of the tissues within the cyst, other concomitant anomalies, the site of development, and the presence or absence of an embryonic straight sinus. We here report 2 cases of atretic encephalocele, that were transferred to our hospital because round tumors, misdiagnosed as dermoid cysts, were detected in their parietal lobes immediately after birth. On diagnostic and differential MRI, an embryonic straight sinus was detected while histochemical results indicated that the lesions contained cerebral tissues. Despite these structural anomalies, the two patients developed normally neurologically and no other anomalies were detected. We here discuss these two cases and present a review of the relevant literature.
Key Words: Atretic encephalocele , Embryology , Magnetic resonance imaging

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