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LETTER TO THE EDITOR
Ahead of print publication
 

Interfrontal anterior fontanel encephalocoele or right parietal encephalocoele?


1 Department of Neurosurgery, IMS and SUM Medical College, Bhubaneswar, Odisha, India
2 Shiksha ‘O’ Anusandhan Deemed University, Bhubaneswar, Odisha, India

Date of Submission01-Jan-2021
Date of Decision01-Jan-2021
Date of Acceptance03-Jan-2021
Date of Web Publication02-Jul-2021

Correspondence Address:
Abhijit Ravindra Chandankhede,
Department of Neurosurgery, IMS and SUM Medical College, Bhubaneswar, Odisha.
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpn.JPN_1_21

 




How to cite this URL:
Chandankhede AR, Mahapatra A K. Interfrontal anterior fontanel encephalocoele or right parietal encephalocoele?. J Pediatr Neurosci [Epub ahead of print] [cited 2021 Dec 9]. Available from: https://www.pediatricneurosciences.com/preprintarticle.asp?id=320375




The anterior fontanel encephalocoele is a very rare entity encountered in the clinical practice. When the size of the encephalocoele is larger than the head itself, it is termed as giant encephalocoele.

The case discussed by Behera[1] shows the findings suitable to be called a giant encephalocoele, although the location as anterior fontanel encephalocoele is not justifiable through the images and the clinical pictures given with the case report.

The encephalocoele can be termed to be arising from anterior fontanel encephalocoele if it is arising from the center of anterior fontanel and not any attachment to the bone.[2] The reasons that the case discussed cannot be anterior fontanel encephalocoele are

  1. The defect is visible in the right parietal bone wall of the anterior fontanel


  2. The swelling is not in the midline and is over the right edge of the fontanel.


  3. The defect is not anywhere near the frontal bones, so cannot be termed as “interfrontal” either as interfrontal encephalocoele originate between nasion and anterior fontanel.[3]


So, we suggest that, rather than calling this case a case of interfrontal anterior fontanel giant encephalocoele, it should be termed as right medial parietal giant encephalocoele.

A schematic diagram of the frontal–parietal encephalocoele is attached herewith for further clarification [Figure 1].
Figure 1: Suggested classification of anterior encephalocele

Click here to view


Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Behera B, Mishra S, Dhir M, Biswal J, Bhujabal S. Giant anterior fontanel encephalocoele: A rare case report and review of literature. J Pediatr Neurosci 2020;15:257.  Back to cited text no. 1
  [Full text]  
2.
Mahapatra AK, Suri A. Anterior encephaloceles: A study of 92 cases. Pediatr Neurosurg 2002;36:113-8.  Back to cited text no. 2
    
3.
Suwanwela C, Suwanwela N. A morphological classification of sincipital encephalomeningoceles. J Neurosurg 1972;36:201-11.  Back to cited text no. 3
    


    Figures

  [Figure 1]



 

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