{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T03:19:19Z","timestamp":1785467959243,"version":"3.56.0"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nOccipital encephalocele is a congenital defect of the neural tube at the level of the cranial midline, which results in herniation of meninges and brain tissue. The results of the management of myelomeningocele study determine the maternal and fetal risks for an open fetal surgery and have motivated the constant review of the concepts and strategies which the pediatric neurosurgeon can employ for the treatment of neural tube defects in the prenatal period.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nWe present a case of a female patient in utero of 26 gestational weeks with the diagnosis of an occipital encephalocele treated by open fetal surgery. During week 20 of gestation, the diagnosis of occipital encephalocele was made by ultrasound, which was corroborated by fetal magnetic resonance that showed cranial protrusion of neural and meningeal content in the occipital region, measuring 1.6 \u00d7 2.8 \u00d7 3.3 cm with an approximate volume of 7.7 cc through a bone defect of 6 mm. The closure of the defect was performed by the postnatal surgical technique adapted to the open fetal surgery. Later, the patient was born transabdominal with a 2.8 cm occipital wound, with suture points and approximated borders, normocephalic, without clinical signs of sepsis, hydrocephalus, or overt neurologic compromise.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nOpen fetal surgery is a therapeutic option in the face of an isolated occipital encephalocele. This case report demonstrates the viability of the surgical procedure by the adaptation of a postnatal surgical technique to a prenatal surgery. Further studies are needed to evaluate the long-term functional results, comparing them with those seen in patients who undergo a postnatal procedure.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_588_2023","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T09:30:21Z","timestamp":1703842221000},"page":"433","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fetal surgery for occipital encephalocele: A case report"],"prefix":"10.25259","volume":"14","author":[{"given":"Antonio Garc\u00eda","family":"M\u00e9ndez","sequence":"first","affiliation":[{"name":"Department of Pediatric Neurosurgery, Mexican Institute of Social Security, \u201cLa Raza\u201d Medical Center, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Helue","family":"Mena","sequence":"additional","affiliation":[{"name":"Department of Fetal Surgery, Mexican Institute of Social Security, \u201cLa Raza\u201d Medical Center, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Agust\u00edn","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurosurgery, Mexican Institute of Social Security, \u201cLa Raza\u201d Medical Center, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Alberto Rivera","family":"Segura","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurosurgery, Mexican Institute of Social Security, \u201cLa Raza\u201d Medical Center, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel \u00c1ngel Garc\u00eda","family":"Guerrero","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mexican Institute of Social Security, \u201cLa Raza\u201d Medical Center, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"key":"10.25259\/SNI_588_2023\/ref-1","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1056\/NEJMoa1014379","article-title":"A randomized trial of prenatal versus postnatal repair of myelomeningocele","volume":"364","author":"Adzick","year":"2011","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_588_2023\/ref-2","doi-asserted-by":"crossref","first-page":"2899","DOI":"10.1007\/s00381-023-06109-6","article-title":"Fetal neurosurgery","volume":"39","author":"Cavalheiro","year":"2023","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_588_2023\/ref-3","doi-asserted-by":"crossref","first-page":"605","DOI":"10.3171\/2020.3.PEDS19613","article-title":"Fetal surgery for occipital encephalocele","volume":"26","author":"Cavalheiro","year":"2020","journal-title":"J Neurosurg Pediatr"},{"key":"10.25259\/SNI_588_2023\/ref-4","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1007\/s00381-017-3442-x","article-title":"Antenatal management of fetal neurosurgical diseases","volume":"33","author":"Cavalheiro","year":"2017","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_588_2023\/ref-5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/2022.6.PEDS22102","article-title":"Natural history of posterior fetal cephaloceles and incidence of progressive cephalocele herniation","volume":"30","author":"Gadgil","year":"2022","journal-title":"J Neurosurg Pediatr"},{"key":"10.25259\/SNI_588_2023\/ref-6","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1177\/87564793211066884","article-title":"Fetal occipital encephalocele: A case report","volume":"38","author":"Hogan","year":"2022","journal-title":"J Diagn Med Sonography"},{"key":"10.25259\/SNI_588_2023\/ref-7","doi-asserted-by":"crossref","first-page":"200","DOI":"10.2174\/1573396315666191018161535","article-title":"Occipital encephalocele: Cause, incidence, neuroimaging and surgical management","volume":"16","author":"Markovic","year":"2020","journal-title":"Curr Pediatr Rev"},{"key":"10.25259\/SNI_588_2023\/ref-8","first-page":"e215","article-title":"Update on prenatal diagnosis and fetal surgery for myelomeningocele. Actualizaci\u00f3n del diagn\u00f3stico prenatal y cirug\u00eda fetal del mielomeningocele","volume":"119","author":"Meller","year":"2021","journal-title":"Arch Argent Pediatr"},{"key":"10.25259\/SNI_588_2023\/ref-9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/uog.17655","article-title":"Intrauterine open fetal surgery for correction of isolated occipital encephalocele","volume":"50","author":"Milani","year":"2017","journal-title":"Ultrasound Obstet Gynecol"},{"key":"10.25259\/SNI_588_2023\/ref-10","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1002\/uog.17656","article-title":"OC16.05. Open fetal surgery for congenital malformations: Feasibility and perinatal outcomes","volume":"50","author":"Moron","year":"2017","journal-title":"Ultrasound Obstet Gynecol"},{"key":"10.25259\/SNI_588_2023\/ref-11","doi-asserted-by":"crossref","first-page":"3437","DOI":"10.1007\/s00381-021-05312-7","article-title":"Hydrocephalus and occipital encephaloceles: Presentation of a series and review of the literature","volume":"37","author":"Protzenko","year":"2021","journal-title":"Childs Nerv Syst"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/fetal-surgery-for-occipital-encephalocele-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/fetal-surgery-for-occipital-encephalocele-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T09:30:27Z","timestamp":1703842227000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/fetal-surgery-for-occipital-encephalocele-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,22]]},"references-count":11,"alternative-id":["10.25259\/SNI_588_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_588_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12,22]]},"article-number":"433"}}