An integrated approach to the management of meningoencephalocoeles

Roumeliotis, G; Wiberg, A; Thomas, G; Magdum, S; Jayamohan, J; Wall, S; Johnson, D

Journal article

An integrated approach to the management of meningoencephalocoeles

Abstract:: Meningoencephalocoeles are congenital herniations of meningeal and cerebral tissues through a cranial defect. They occur most commonly in South-East Asia, and are relatively rare amongst European ancestry populations, with an estimated prevalence of 1/40,000 live births. The treatment of congenital meningoencephalocoeles is primarily surgical and are best managed by dedicated multi-disciplinary craniofacial teams. The authors performed a retrospective case review of all primary meningoencephalocoeles managed in the Oxford University Hospitals NHS Foundation Trust between 1986 and 2012. Twenty-nine cases (13 frontal, 9 occipital, 2 parietal, and 5 basal) were included in this study. The median age at presentation was 11 months (range 0–60 years). Twenty-five cases presented with an external mass; 3 with recurrent meningitis and 1 with otorrhoea. Twenty-six cases underwent surgery, and 17 of these were managed by an integrated approach between 2 or more surgical specialties. Twenty out of 26 operations were performed via a transcranial approach. The authors describe a particularly complex case in order to highlight the challenges associated with management of meningoencephalocoeles, the surgical technique employed, and the importance of a multidisciplinary surgical approach. This is the largest reported case series of meningoencephalocoeles managed in a single hospital in the United Kingdom. Designated craniofacial units with access to multidisciplinary surgical specialties provide a safe and optimal setting for the management of meningoencephalocoeles.

Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

Roumeliotis, G., Wiberg, A., Thomas, G., Magdum, S., Jayamohan, J., Wall, S., & Johnson, D. (2021). An integrated approach to the management of meningoencephalocoeles. Journal of Craniofacial Surgery, 32(S3), 1280–1284.

MLA Style

Roumeliotis, G, et al. “An Integrated Approach to the Management of Meningoencephalocoeles.” Journal of Craniofacial Surgery, vol. 32, no. S3, 2021, pp. 1280–84.

Chicago Style

Roumeliotis, G, A Wiberg, G Thomas, et al. 2021. “An Integrated Approach to the Management of Meningoencephalocoeles.” Journal of Craniofacial Surgery 32 (S3): 1280–84.
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