Case challenge · Imaging / Fetal medicine / Pediatric neurosurgery · teaching

Fetal Encephalocele / Cranium Bifidum · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Fetal neuro MRI

Case #1Imaging / Fetal medicine / Pediatric neurosurgery

📋 Case data

Herniated contents + site + associatedMeningocele (sac + CSF only, no brain tissue), isolated, no microcephaly/hydrocephalus

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Herniated contents + site + associated

Herniated contents (meningeal sac vs containing brain tissue) + site + associated?

💡 Encephalocele = herniation of intracranial contents through a skull defect (cranium bifidum, an NTD). Meningocele (meninges + CSF only) vs encephalocele (contains brain parenchyma). Site: occipital most common. Fetal MRI is better than ultrasound: assesses herniated contents (brain/cerebellum/ventricle/venous sinus), residual brain, microcephaly, hydrocephalus, associated anomalies.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.