Endgames Spot Diagnosis

A boy with a sac-like protrusion at the occipital region

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i2073 (Published 14 April 2016) Cite this as: BMJ 2016;353:i2073
  1. Yong-Hai Zhou, consultant paediatrician1,
  2. Ming-Hua Zheng, consultant hepatologist2
  1. 1Department of Paediatrics, Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China
  2. 2Department of Hepatology, Liver Research Centre, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China
  1. Correspondence to: M-H Zheng zhengmh{at}wmu.edu.cn

A 1 year old boy presented to the neurosurgery clinic with a sac-like protrusion at the occipital region that had been present since birth. He was born at full term by caesarean section. He had no neurological symptoms and the swelling had not enlarged since birth. On examination, his head circumference was normal for age. The protrusion was 2.5×2.5 cm and his cry impulse was positive. A systemic examination …

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