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Tadpole-shaped lateralized parietal atretic cephalocele associated with an ipsilateral lacrimal gland fistula and schizencephalic clefts

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Abstract

Background

Parietal atretic cephalocele (AC) and its associated intracranial venous anomalies, such as vertical embryonic positioning of the straight sinus (VEP of SS), have, in previous reports, been exclusively restricted to the midline.

Clinical presentation

We report a patient with lateralized parietal AC on the right side. The AC was in the shape of a tadpole, with a large head and a long tail, extending to the proximity of the right external canthus, where a lacrimal gland fistula was observed. The superior sagittal sinus and VEP of SS were also displaced to the right side, although the sagittal suture was located at the midline. Schizencephalic clefts in the right posterior cortex were also observed.

Conclusion

The parietal AC, which was initially located in the midline, could conceivably have been displaced to the right side by other developmental processes. However, the relationship between lateralized AC and associated multiple anomalies on the ipsilateral side is difficult to explain monogenetically. Our case study indicates that AC might have a broader spectrum of clinical symptoms than was once thought to be the case.

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Authors and Affiliations

  1. Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Nobuya Murakami, Nobutaka Mukae, Kimiaki Hashiguchi & Koji Iihara

  2. Department of Neurosurgery, Fukuoka Children’s Hospital, Fukuoka, Japan

    Nobuya Murakami & Takato Morioka

  3. Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

    Satoshi O. Suzuki

Authors
  1. Nobuya Murakami
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  2. Takato Morioka
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  3. Satoshi O. Suzuki
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  4. Nobutaka Mukae
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  5. Kimiaki Hashiguchi
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  6. Koji Iihara
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Corresponding author

Correspondence to Nobuya Murakami.

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The authors declare that they have no conflict of interest.

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Murakami, N., Morioka, T., Suzuki, S.O. et al. Tadpole-shaped lateralized parietal atretic cephalocele associated with an ipsilateral lacrimal gland fistula and schizencephalic clefts. Childs Nerv Syst 33, 363–367 (2017). https://doi.org/10.1007/s00381-016-3254-4

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  • DOI: https://doi.org/10.1007/s00381-016-3254-4

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