Encephalocele Repair

Indications

• The presence of an encephalocele is an indication for surgical repair. Encephaloceles are typically diagnosed at birth, although many are now identified in utero by ultrasound.

• Indications for the immediate repair of an encephalocele include open exposure to any meninges or brain, a ruptured encephalocele sac, and leakage of cerebrospinal fluid. Expeditious repair of the encephalocele in these circumstances minimizes the risk of a central nervous system infection.

• If the skin overlying the encephalocele is intact, surgical repair can be done on an elective basis.