Case reports

Case report: Surgical reconstruction of acrania in a preterm neonate in Nigeria

A O Ogunkeyede, A Abdulsalam, B F Olushiyan, I A Lawal


Acrania is a rare, life-threatening congenital anomaly in which the flat bones in the cranial vault are either completely or partially absent, with complete but abnormal development of the cerebral hemispheres. In severe cases, surgical intervention is required for improved outcome. We present a 31-week gestational age, 1.6 kg female preterm neonate with acrania and no other associated congenital anomaly. On the eighth day of life, a scalp transpositional flap based on the superficial temporal and posterior auricular arteries was raised to cover the primary defect, and a split thickness skin graft was used to resurface the secondary defect. The patient did well postoperatively and was discharged to be monitored in the clinic. Early detection and multimodal specialist care is imperative for necessary intervention to prevent untoward complications.

Authors' affiliations

A O Ogunkeyede, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

A Abdulsalam, Department of Surgery, Federal Medical Centre, Lokoja, Nigeria

B F Olushiyan, Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Nigeria

I A Lawal, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

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Cite this article

South African Journal of Plastic & Reconstructive Aesthetic Surgery & Burns 2021;4(2):27. DOI:10.7196/sajprasb.1461

Article History

Date submitted: 2022-02-01
Date published: 2022-02-01

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