PARAMEDIAN TYPE OF FRONTAL ENCEPHALOCELE WITH ASSOCIATED CLEFT LIP, CONGENITAL CHOLELITHIASIS AND ABSENT TWO DIGITS OF FOOT- A RARE COMBINATION

Abstract

INTRODUCTION: A cephalocele is defined as a protrusion of intracranial contents through a defect in the skull or dura.1 An anomaly that contains neural elements is termed encephalocele, neural elements and meninges; meningoencephalocele, meninges and subarachoid space; meningocele.2 Approximately 90% cases involve the mid-line, rare subtypes are paramedian in location. Other malformations and / or chromosomal anomalies are noted in at least 60% of patients of encephalocele.3 Currently most cases are diagnosed antenatally. Maternal surum alpha feto proteins are raised only in 3 % cases as these defects are covered by skin.4 CASE PRESENTATION: Here we present a 6 month old male infant with frontal encephalocele with rare paramedian location with associated cleft lip and absent 2 digits of right foot with congenital gall stones, an association reported first time in literature. Keywords : Encephalocele; cleft lip; cholelithiasis.