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Cephalocele

MedGen UID:
4934
Concept ID:
C0014065
Congenital Abnormality
Synonyms: Bifid Cranium; Bifid Craniums; Bifidum, Cranium; Bifidums, Cranium; Cephaloceles; Cerebral Hernia; Cerebral Hernias; Cranial Meningoencephalocele; Cranial Meningoencephaloceles; Craniocele; Cranioceles; Cranium Bifidum; Cranium Bifidums; Cranium, Bifid; Craniums, Bifid; Encephalocele; Encephaloceles; Hernia, Cerebral; Hernias, Cerebral; Meningoencephalocele, Cranial; Meningoencephaloceles, Cranial
SNOMED CT: Congenital cerebral hernia (253101008); Cephalocele (55999004); Craniocele (55999004)
 
HPO: HP:0011815
Monarch Initiative: MONDO:0017078
Orphanet: ORPHA268817

Definition

A congenital defect in the skull, whereby there is a protrusion of part of the cranial contents through a congenital defect in the cranium, usually covered with skin or mucous membrane. The term encephalocele refers to a subclass of these lesions in which brain tissue protrudes through the defect. [from HPO]

Conditions with this feature

Zechi-Ceide syndrome
MedGen UID:
416693
Concept ID:
C2752047
Disease or Syndrome
A rare genetic multiple congenital anomalies/dysmorphic syndrome with characteristics of occipital atretic cephalocele associated with a specific facial dysmorphism (consisting of prominent forehead, narrow palpebral fissures, midface deficiency, narrow, malformed ears, broad nose and nasal root, grooved nasal tip and columella, laterally angulated, hypoplastic nares, short philtrum, thin upper lip, clift lip/palate, severe oligodontia, prominent chin) and large feet with sandal gap. Intellectual disability, developmental delay and hypoplastic finger and toenails have also been reported.

Professional guidelines

PubMed

Dąbkowska S, Kucińska-Chahwan A, Beneturska A, Ilnicka A, Nowakowska B, Panek G, Roszkowski T, Bijok J
Prenat Diagn 2020 Apr;40(5):612-617. Epub 2020 Feb 12 doi: 10.1002/pd.5654. PMID: 32003477
Weichert J, Hoellen F, Krapp M, Germer U, Axt-Fliedner R, Kempe A, Geipel A, Berg C, Gembruch U
Arch Gynecol Obstet 2017 Sep;296(3):455-463. Epub 2017 Jun 20 doi: 10.1007/s00404-017-4424-7. PMID: 28634753
Shields JA, Shields CL
Surv Ophthalmol 2004 May-Jun;49(3):281-99. doi: 10.1016/j.survophthal.2004.02.001. PMID: 15110666

Recent clinical studies

Etiology

Lang-Orsini M, Champion SN, Duhaime AC, Rapalino O, Hedley-Whyte ET, Louis DN, Nazarian RM
J Cutan Pathol 2023 Jul;50(7):653-660. Epub 2023 Feb 24 doi: 10.1111/cup.14399. PMID: 36700349
Sepulveda F, Montoya F, Vallejos J, Sepulveda W
Prenat Diagn 2022 Dec;42(13):1667-1673. Epub 2022 Nov 7 doi: 10.1002/pd.6258. PMID: 36321562
Dąbkowska S, Kucińska-Chahwan A, Beneturska A, Ilnicka A, Nowakowska B, Panek G, Roszkowski T, Bijok J
Prenat Diagn 2020 Apr;40(5):612-617. Epub 2020 Feb 12 doi: 10.1002/pd.5654. PMID: 32003477
Timbolschi D, Schaefer E, Monga B, Fattori D, Dott B, Favre R, Kohler M, Nisand I, Viville B, Astruc D, Kehrli P, Gasser B, Lindner V, Marcellin L, Flori E, Girard-Lemaire F, Dollfus H, Doray B
Fetal Diagn Ther 2015;37(1):6-17. Epub 2014 Nov 11 doi: 10.1159/000362663. PMID: 25402326
Drapkin AJ
Neurosurgery 1990 Apr;26(4):667-73; discussion 674. doi: 10.1097/00006123-199004000-00018. PMID: 2184377

Diagnosis

Lang-Orsini M, Champion SN, Duhaime AC, Rapalino O, Hedley-Whyte ET, Louis DN, Nazarian RM
J Cutan Pathol 2023 Jul;50(7):653-660. Epub 2023 Feb 24 doi: 10.1111/cup.14399. PMID: 36700349
Cunha B, Kuroedov D, Conceição C
J Neuroimaging 2022 Mar;32(2):230-244. Epub 2021 Oct 27 doi: 10.1111/jon.12942. PMID: 34705308
Zhou Y, Wei X, Cheng B
World Neurosurg 2021 Apr;148:13-14. Epub 2020 Dec 30 doi: 10.1016/j.wneu.2020.12.112. PMID: 33385601
Volpe N, Dall'Asta A, Di Pasquo E, Frusca T, Ghi T
Ultrasound Obstet Gynecol 2021 Feb;57(2):204-214. doi: 10.1002/uog.23149. PMID: 33049801
Dąbkowska S, Kucińska-Chahwan A, Beneturska A, Ilnicka A, Nowakowska B, Panek G, Roszkowski T, Bijok J
Prenat Diagn 2020 Apr;40(5):612-617. Epub 2020 Feb 12 doi: 10.1002/pd.5654. PMID: 32003477

Therapy

Zhou Y, Wei X, Cheng B
World Neurosurg 2021 Apr;148:13-14. Epub 2020 Dec 30 doi: 10.1016/j.wneu.2020.12.112. PMID: 33385601
Martinez-Ten P, Illescas T, Adiego B, Estevez M, Bermejo C, Wong AE, Sepulveda W
Ultrasound Obstet Gynecol 2018 Feb;51(2):199-207. Epub 2018 Jan 2 doi: 10.1002/uog.17445. PMID: 28236314
Hatipoglu N, Türel O, Hatipoglu H, Engerek N, Siraneci R
J Trop Pediatr 2014 Feb;60(1):87-9. Epub 2013 Aug 27 doi: 10.1093/tropej/fmt073. PMID: 23982828
Baradaran N, Nejat F, Baradaran N, El Khashab M
Pediatr Neurosurg 2009;45(6):461-6. Epub 2010 Jan 26 doi: 10.1159/000277622. PMID: 20110760
Alorainy IA
Eur J Radiol 2007 Jun;62(3):378-84. Epub 2007 Feb 15 doi: 10.1016/j.ejrad.2007.01.010. PMID: 17306489

Prognosis

Gaulden AL, Nagaraj UD, Emmert AS, Vuong SM, Kline-Fath BM, Bierbrauer KS, Patel SK
Prenat Diagn 2024 Oct;44(11):1327-1334. Epub 2024 Sep 10 doi: 10.1002/pd.6660. PMID: 39256950
Lang-Orsini M, Champion SN, Duhaime AC, Rapalino O, Hedley-Whyte ET, Louis DN, Nazarian RM
J Cutan Pathol 2023 Jul;50(7):653-660. Epub 2023 Feb 24 doi: 10.1111/cup.14399. PMID: 36700349
Dąbkowska S, Kucińska-Chahwan A, Beneturska A, Ilnicka A, Nowakowska B, Panek G, Roszkowski T, Bijok J
Prenat Diagn 2020 Apr;40(5):612-617. Epub 2020 Feb 12 doi: 10.1002/pd.5654. PMID: 32003477
Pabuşçu Y, Bulakbasi N, Kocaoğlu M, Uçöz T
Comput Med Imaging Graph 2002 Nov-Dec;26(6):453-8. doi: 10.1016/s0895-6111(02)00026-5. PMID: 12453509
Drapkin AJ
Neurosurgery 1990 Apr;26(4):667-73; discussion 674. doi: 10.1097/00006123-199004000-00018. PMID: 2184377

Clinical prediction guides

Gaulden AL, Nagaraj UD, Emmert AS, Vuong SM, Kline-Fath BM, Bierbrauer KS, Patel SK
Prenat Diagn 2024 Oct;44(11):1327-1334. Epub 2024 Sep 10 doi: 10.1002/pd.6660. PMID: 39256950
Tokatly Latzer I, Roth J, Constantini S, Malinger G, Weissmann-Brenner A, Ben-Sira L, Fattal-Valevski A, Meirson H
Childs Nerv Syst 2021 Apr;37(4):1295-1300. Epub 2021 Jan 6 doi: 10.1007/s00381-020-04997-6. PMID: 33404719
Liao Y, Wen H, Ouyang S, Yuan Y, Bi J, Guan Y, Fu Q, Yang X, Guo W, Huang Y, Zeng Q, Qin Y, Xiang H, Li S
Am J Obstet Gynecol 2021 Apr;224(4):396.e1-396.e15. Epub 2020 Oct 27 doi: 10.1016/j.ajog.2020.10.037. PMID: 33127430
Shields JA, Shields CL
Surv Ophthalmol 2004 May-Jun;49(3):281-99. doi: 10.1016/j.survophthal.2004.02.001. PMID: 15110666
David DJ
J Craniofac Surg 1993 Oct;4(4):192-202. PMID: 8110899

Recent systematic reviews

Thompson HM, Cho DY, Riley KO, Grayson JW, Woodworth BA
Int Forum Allergy Rhinol 2020 Dec;10(12):1334-1336. Epub 2020 Sep 27 doi: 10.1002/alr.22701. PMID: 32981221
Bessis D, Bigorre M, Malissen N, Captier G, Chiaverini C, Abasq C, Barbarot S, Boccara O, Bourrat E, El Fertit H, Eschard C, Hubiche T, Lacour JP, Leboucq N, Mahé E, Mallet S, Marque M, Martin L, Mazereeuw-Hautier J, Milla N, Phan A, Plantin P, Picot MC, Puzenat E, Rigau V, Vabres P, Fraitag S, Boralevi F; Groupe de Recherche Clinique en Dermatologie Pédiatrique
J Am Acad Dermatol 2017 Mar;76(3):478-487. Epub 2016 Oct 11 doi: 10.1016/j.jaad.2016.08.046. PMID: 27742172

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