[Surgical treatment for anterior cerebral hernias].

The paper describes the authors' experience in treating 22 patients aged 2 months to 16 years who had congenital anterior cerebral hernias. A comprehensive principle that consists in removing hernial defects of the pachymeninx and skull base, excising herniation, and performing reconstructive operations in concomitant craniofacial deformities was used in the treatment of children with anterior encephalocele. All these surgical procedures were, if possible, performed in one step. There were no recurrent cerebral hernias and nasal liquorrhea was also absent. There was no progression of neurological symptoms in all patients. None patient developed meningitis or other infectious complications. All the parents recognized the cosmetic results of surgery as satisfactory. Three cases of different variants of this pathology are presented as an illustration of current surgical treatment.