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Gaceta Médica Boliviana
Print version ISSN 1012-2966On-line version ISSN 2227-3662
Abstract
PENALOZA VALENZUELA, Juan José; TORRICO APONTE, William Alexander; TORRICO APONTE, Mario Luis and PENALOZA FLORES, Micaela. Neonatal giant occipital encephalocele, a purpose of a case. Gac Med Bol [online]. 2011, vol.34, n.2, pp.99-101. ISSN 1012-2966.
The encephalocele is a protrusion of intracranial contents through a skull bone defect due to the lack of separation of surface ectoderm from the neuroectoderm, which determines a mesodermal defect in the skull. A case of a pregnant woman of 21 who received care in Hospital Materno Infantil Germán Urquidi, who presents at the obstetric examination uterine height 20 cm, in a longitudinal situation, breech presentation, FHR of 140/min without uterine or cervical changes. The laboratories reported; urinary tract infection, toxoplasmosis, cytomegalovirus and high alpha-feto protein, and ultrasonography reporting occipital cephalocele, acrania, diagnosis confirmed by 3D ultrasound. It was decided to terminate the pregnancy, induce labor yielding a male stillbirth weighing 1086gr, APGAR 0, which provides integral partof the skull in the occipital region in which the brain protrudes surrounded by their meninges and scalp. The patient had favorable results.
Keywords : encephalocele; congenital abnormalities; neural tube defects.