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Case report
Occipital encephalocele in a neonate: a case successfully managed by excision and formation of a reverse visor scalp flap
  1. Elizabeth Tan1,
  2. Stanislau Makaranka2,
  3. Nusrat Mohamed3 and
  4. Naveen Cavale2
  1. 1 Department of Neurosurgery, King's College Hospital, London, UK
  2. 2 Department of Plastics and Reconstructive Surgery, King's College Hospital NHS Foundation Trust, London, UK
  3. 3 Department of Orthopaedics, King's College Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Elizabeth Tan; e.tan{at}


Encephaloceles are one form of neural tube defect and are associated with partial absence of skull bone fusion, with an incidence of 1–4 cases for every 10 000 live births. We report the case of a neonate born at term, with an antenatal diagnosis of occipital encephalocele, which was successfully managed with excision and formation of a reverse visor scalp flap on day 2 of life.

Surgery was performed in a single stage, involving a multidisciplinary approach between neurosurgery and plastic surgery teams, with wider management involving neonatal intensive care, paediatric, obstetric and anaesthetic teams.

The patient had no early postoperative complications, and we use this case report to demonstrate that a reverse visor scalp flap is a good option to cover full-thickness defects in patients with encephaloceles.

Furthermore, we advocate early repair and a multidisciplinary approach to minimise the morbidity associated with occipital encephaloceles.

  • neurosurgery
  • plastic and reconstructive surgery
  • paediatric surgery
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  • Contributors ET researched the case, wrote up the case report, reviewed and edited the article and submitted report. SM conducted the literature review, reviewed and edited the article. NM obtained patient consent, reviewed and edited the article. NC helped to plan the report, reviewed and edited the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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