Dr. Sanjay Sharma (Neurosurgery) needs a second opinion on this medical case.
Two years old boy having Swelling at occipital in mid line since birth which is increasing progressively
CT scan showed underlying bony defect
Diagnosis is meningo encaphalocoele?
Problem may be super Sagittarius sinus involvement.
Pt is poor can not effort MRI and MRA ,Venogram etc
May I go for surgery without venography?
How to manage this case?