surgical repair

The image depicts a two-year-old child with a parietal encephalocele, visible as a prominent protrusion from the superior aspect of the skull. Encephalocele is a rare congenital neural tube defect characterized by the herniation of brain tissue and meninges through a defect in the cranium. This case is notable as most encephaloceles are surgically addressed in early infancy, but this child appears to have reached two years of age with the condition still present. The sac appears well-vascularized with a reddish, taut appearance, suggesting active blood supply to the herniated tissues. This condition requires comprehensive neurosurgical evaluation and intervention to prevent further complications and optimize developmental outcomes.

Ventricular septal defect represents the most common congenital heart defect, affecting approximately 2-6 per 1000 live births. This condition involves an abnormal opening in the ventricular septum, allowing blood flow between the right and left ventricles, which can lead to significant hemodynamic consequences if left untreated.