Early Cranioplasty in an Apert’s Syndrome Infant With Occipital Encephalocele

Author:

Yoo Kyung-Eun1,Chong Kyuha2,Yang Misun3,Seo Jeong-Min4,Choi Na-Yeon5,Lim So-Young1

Affiliation:

1. Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

2. Departement of Neurosurgery

3. Departement of Pediatrics

4. Departement of General Surgery

5. Departement of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

Abstract

Apert’s syndrome (AS) is a rare congenital malformation characterized by distinctive clinical manifestations such as syndactyly of the extremities and midface retrusion, which set it apart from other syndromes. This condition often presents with craniosynostosis and, less commonly, central nervous system abnormalities like encephalocele. In this report, we present a typical case of Apert syndrome with an occipital encephalocele. The infant had plagio-brachycephaly due to craniosynostosis and required urgent repair of the occipital encephalocele. At 1 month of age, we performed both the encephalocele repair and early cranioplasty for autologous bone grafting. This case underscores the importance of early diagnosis and surgical interventions in Apert’s syndrome cases with encephalocele.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference19 articles.

1. Birth prevalence study of the Apert syndrome;Cohen;Am J Med Genet,1992

2. Eugène Apert and his contributions to plastic surgery;Lee;Ann Plast Surg,2010

3. Clinical variability in patients with Apert’s syndrome;Lajeunie;J Neurosurg,1999

4. Management of craniosynostoses;Renier;Childs Nerv Syst,2000

5. Clinical genetics of craniosynostosis;Wilkie;Curr Opin Pediatr,2017

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