A giant occipital encephalocele.

Giant occipital encephaloceles are rare lesions. Because of their enormous size they pose a surgical challenge. Herein we report a four months old female baby who presented with progressively increasing swelling over the occipital region. This swelling was present since birth. Surgery was planned to reduce the size of the swelling as well as its contents. The redundant sac was excised and reduced sufficiently enough to accommodate the healthy looking brain tissue. In contrast to the previous case reports where the neonates had poor prognosis, this infant did well postoperatively.