Types

Understanding Encephalocele

Choose a preferred language

Encephalocele is a rare birth defect. It means that part of a baby’s skull doesn’t form all the way, leaving a hole. Through this hole, a sac, often covered in skin, sticks out. The sac may be filled with parts of the brain or the meninges. The meninges is the membrane that surrounds the brain. The sac may also have cerebrospinal fluid (CSF) in it. This fluid flows between the brain and the spinal cord. It protects the brain. It also carries nutrients to the brain and takes waste out of it.

An encephalocele may form anywhere along the center of the head, from the bridge of the nose to the back of the skull. The most common spot for one to form is at the base of the skull. This condition can occur by itself. Or it may be found with other neurological problems, like Meckel syndrome or Chiari type III malformation.

Front view of child with head turned showing skull, brain, and meninges.


How to say it

ehn-SEHF-ah-loh-SEEL


What causes encephalocele?

Doctors aren’t sure why encephaloceles form. It's likely due to a mix of genetic and environmental factors. The condition can run in families. It may be caused by certain infections in a mother during pregnancy. In some cases, it may be caused by a tumor or trauma to the skull.


Symptoms of encephalocele

Doctors may find an encephalocele at birth. Or it may be spotted before birth with an imaging test called an ultrasound. The condition can cause symptoms such as:

  • No strength in the arms and the legs (paralysis).

  • A very small head.

  • Lack of muscle coordination.

  • Developmental delay.

  • Trouble seeing.

  • Delayed growth.

  • Seizures.

Your child’s symptoms may vary. They often depend on the size and location of the sac, as well as the type of material in it. Symptoms tend to be worse if the sac contains vital parts of the brain.


Treatment for encephalocele

Your child will need surgery. It's the only treatment for this condition. During surgery, a doctor uses special tools to put the contents of the sac back into the skull, if possible. The doctor then closes the hole in the skull.

Surgery may be done shortly after birth or several months to years later. It depends on your child’s condition. In some cases, your child may need more than one surgery. Plastic surgery may be advised if your child has skin or face deformities.


Possible complications of encephalocele

Your child may problems from an encephalocele. Problems include:

  • A buildup of CSF in the brain.

  • Leaking of CSF.

  • Delays in development and growth.

  • Problems with intellect.

  • An infection in the brain or spinal cord.


When to call the doctor

Contact your child’s doctor right away if your child has:

  • A fever of 100.4°F (38°C) or higher, or as directed by the doctor.

  • Symptoms that don’t get better or that get worse.

  • New symptoms.

Online Medical Reviewer: Esther Adler

Online Medical Reviewer: Lalitha Kadali

Online Medical Reviewer: Raymond Kent Turley BSN MSN RN

Date Last Reviewed: 05/01/2025

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Suitcase Icon

Learn More About Health Services at PIH Health

Expert care for every stage of life. Explore the comprehensive services offered at PIH Health.

Explore Services
Newspaper Icon

Get Health Tips & Updates

Sign up for helpful health information, wellness tips and news from PIH Health, delivered straight to your inbox.

Subscribe
Related Articles
Read article
Brain Health
Tension Headaches

Tension headaches cause a dull, steady pain on both sides of the head and in the neck and the back of the head. The eyes may also feel tired. Tension headache can be caused by lack of sleep, poor posture, eyestrain, stress, and other factors.

Read article
Brain Health
Types of Muscular Dystrophy and Neuromuscular Diseases

Muscular dystrophy is a group of inherited diseases that are characterized by weakness and wasting away of muscle tissue, with or without the breakdown of nerve tissue. Learn more about the types of muscular dystrophy and other types of neuromuscular diseases.

Read article
Brain Health
Spinal Muscular Atrophy in Children

Spinal muscular atrophy (SMA) is a disease of the nerves and muscles caused by certain genes. It causes muscle wasting and weakness.

Read article
Brain Health
What Is a Subdural Hematoma?

A subdural hematoma is a buildup of blood on the surface of the brain. The blood builds up in a space between the layers that surround your brain.

Stethoscope Icon

Personalized Care Starts with the Right Provider

Search by specialty, location, and more.

Find A Doctor
Appointments Icon

Make an Appointment

Your health can't always wait. Schedule an appointment with a PIH Health provider.

Schedule an Appointment
Cross Icon

Find a PIH Health Urgent Care Location

Need care today?. Find the nearest PIH Health Urgent Care location.

Find Urgent Care