Large aplasia cutis congenita of the vertex conservative management
Background Aplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous tissues of the scalp with significant bone defect Bajpai and Pal (J Pediatr Surg 38(2):e4, 2003). When associated with skull defect, this rare...
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| Published in: | Child's nervous system Vol. 40; no. 2; pp. 285 - 292 |
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01-02-2024
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| Abstract | Background
Aplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous tissues of the scalp with significant bone defect Bajpai and Pal (J Pediatr Surg 38(2):e4, 2003). When associated with skull defect, this rare malformation carries the risk of severe complications such as rupture of the superior sagittal sinus or infections.
Methods and results
We report a case of aplasia cutis congenita of the scalp with skull defect measuring 9 × 10 cm and an exposed sagittal sinus in a newborn. Both conservative and surgical methods have been proposed to treat this condition. In our case, conservative treatment was planned led to complete epithelization and the patient was healing well at 5 years of follow-up.
Conclusions
ACC of the vertex with a large scalp defects present a management dilemma Rocha et al. (Clin Case Rep 3(10):841–4, 2015). Based on a review of the literature, we report this case to demonstrate that even for the largest skin and bone defects, an initial conservative approach may allow for complete wound closure without the need for early surgical intervention. |
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| AbstractList | Background
Aplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous tissues of the scalp with significant bone defect Bajpai and Pal (J Pediatr Surg 38(2):e4, 2003). When associated with skull defect, this rare malformation carries the risk of severe complications such as rupture of the superior sagittal sinus or infections.
Methods and results
We report a case of aplasia cutis congenita of the scalp with skull defect measuring 9 × 10 cm and an exposed sagittal sinus in a newborn. Both conservative and surgical methods have been proposed to treat this condition. In our case, conservative treatment was planned led to complete epithelization and the patient was healing well at 5 years of follow-up.
Conclusions
ACC of the vertex with a large scalp defects present a management dilemma Rocha et al. (Clin Case Rep 3(10):841–4, 2015). Based on a review of the literature, we report this case to demonstrate that even for the largest skin and bone defects, an initial conservative approach may allow for complete wound closure without the need for early surgical intervention. BACKGROUNDAplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous tissues of the scalp with significant bone defect Bajpai and Pal (J Pediatr Surg 38(2):e4, 2003). When associated with skull defect, this rare malformation carries the risk of severe complications such as rupture of the superior sagittal sinus or infections.METHODS AND RESULTSWe report a case of aplasia cutis congenita of the scalp with skull defect measuring 9 × 10 cm and an exposed sagittal sinus in a newborn. Both conservative and surgical methods have been proposed to treat this condition. In our case, conservative treatment was planned led to complete epithelization and the patient was healing well at 5 years of follow-up.CONCLUSIONSACC of the vertex with a large scalp defects present a management dilemma Rocha et al. (Clin Case Rep 3(10):841-4, 2015). Based on a review of the literature, we report this case to demonstrate that even for the largest skin and bone defects, an initial conservative approach may allow for complete wound closure without the need for early surgical intervention. Aplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous tissues of the scalp with significant bone defect Bajpai and Pal (J Pediatr Surg 38(2):e4, 2003). When associated with skull defect, this rare malformation carries the risk of severe complications such as rupture of the superior sagittal sinus or infections. We report a case of aplasia cutis congenita of the scalp with skull defect measuring 9 × 10 cm and an exposed sagittal sinus in a newborn. Both conservative and surgical methods have been proposed to treat this condition. In our case, conservative treatment was planned led to complete epithelization and the patient was healing well at 5 years of follow-up. ACC of the vertex with a large scalp defects present a management dilemma Rocha et al. (Clin Case Rep 3(10):841-4, 2015). Based on a review of the literature, we report this case to demonstrate that even for the largest skin and bone defects, an initial conservative approach may allow for complete wound closure without the need for early surgical intervention. |
| Author | Mechergui, Haifa Charfeddine, Sarah Houimli Abderrahmen, Khansa Bouali, Sofiene Kallel, Jalel Ghedira, Khalil |
| Author_xml | – sequence: 1 givenname: Sofiene surname: Bouali fullname: Bouali, Sofiene email: sofienebouali@hotmail.fr organization: Department of Neurosurgery, National Institute of Neurology”Mongi Ben Hmida”, Tunis Faculty of Medicine, University of Tunis El Manar – sequence: 2 givenname: Sarah Houimli surname: Charfeddine fullname: Charfeddine, Sarah Houimli organization: Reconstructive & Aesthetic Surgery Department – sequence: 3 givenname: Khalil surname: Ghedira fullname: Ghedira, Khalil organization: Department of Neurosurgery, National Institute of Neurology”Mongi Ben Hmida”, Tunis Faculty of Medicine, University of Tunis El Manar – sequence: 4 givenname: Haifa surname: Mechergui fullname: Mechergui, Haifa organization: Department of Neurosurgery, National Institute of Neurology”Mongi Ben Hmida”, Tunis Faculty of Medicine, University of Tunis El Manar – sequence: 5 givenname: Khansa surname: Abderrahmen fullname: Abderrahmen, Khansa organization: Department of Neurosurgery, National Institute of Neurology”Mongi Ben Hmida”, Tunis Faculty of Medicine, University of Tunis El Manar – sequence: 6 givenname: Jalel surname: Kallel fullname: Kallel, Jalel organization: Department of Neurosurgery, National Institute of Neurology”Mongi Ben Hmida”, Tunis Faculty of Medicine, University of Tunis El Manar |
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| Cites_doi | 10.30699/jogcr.5.4.172 10.1016/j.anpede.2015.09.010 10.1111/j.1346-8138.2002.tb00285.x 10.1111/ijd.13008 10.1053/jpsu.2003.50064 10.1097/00001665-200207000-00003 10.1054/bjps.2000.3406 10.1001/archderm.1974.01630100071018 10.1111/j.1525-1470.2010.01266.x 10.1097/SCS.0000000000003347 10.1007/s12024-014-9645-5 10.1054/bjps.2002.3963 10.1002/ccr3.4671 10.1016/S0190-9622(86)70082-0 10.1038/jp.2008.250 10.1097/00001665-200207000-00007 10.1055/s-2003-39562 10.1016/S0002-9378(16)41979-4 10.1371/journal.pgen.1003573 10.1097/SCS.0000000000001798 10.4103/sni.sni_188_17 10.1097/01.scs.0000246500.84935.4f 10.1055/s-0034-1387195 10.46900/apn.v4i1(January-April).109 10.1159/000442989 10.1001/archderm.141.5.554 10.1097/SCS.0000000000002610 10.1007/s00381-002-0654-4 10.1155/2016/4264721 10.1002/ccr3.361 |
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| Keywords | Acutis dermal dysplasia Scalp defects Bone defect Conservative treatment |
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Aplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous... Aplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous tissues of... BACKGROUNDAplasia cutis congenita (ACC) of the vertex with bone defect is a rare and begnin anomaly that can involve the epidermis, dermis, and subcutaneous... |
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| Title | Large aplasia cutis congenita of the vertex conservative management |
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