Giant cervical intradural extramedullary schwannoma with severe spinal cord compression is a rare entity. Tumor spread and size are very important for surgical approach. In this case, we report a 55-years-old male patient with a giant intradural-extramedullary cervical schwannoma extending between C5 and T1 and causing spinal cord compression that underwent total resection with laminoplasty at C5-6-7 levels. The patient developed no additional deficit. To preserve the cervical lordosis, the patient used a cervical collar for three months. There has been no recurrence during two years of follow-up. Using the appropriate surgical method is essential in patients with spinal tumor in order to avoid additional neurological deficits and achieve cure.

Intracranial migration of the ventriculoperitoneal shunt is an extremely rare situation. A 2-month-old infant who had undergone ventriculoperitoneal shunt for hydrocephalus in the neonatal period presented with feeding problems and increasing head circumference. There was intracranial migration on cranial computed tomography and shunt survey images. Endoscopically the shunt was removed and a new shunt was applied. The patient was discharged with cure. This extremely rare shunt complication and its surgery both have serious complications. Therefore, the surgical technique, proper fixation of the shunt and the use of the right shunting material are significantly important.

Encephalocele is defined as extracranial herniation of the CSF, meninges, or cerebral tissue through a midline fusion defect in the cranium. The aim of this article is to present the clinical experience of the authors on encephalocele management. A total of 19 patients who underwent surgery for encephalocele in our hospital between 2015 and 2021 were included in the study. We reached 7 cases who were diagnosed with encephalocele and underwent pregnancy termination between 2018 and 2020 in our hospital. The patients' demographics, neurological examinations, procedure and anaesthesia data, and postoperative follow-up were all evaluated. 15 of 19 patients were female. 2 mothers used folic acid supplementation, but it was not effective. 7 patients were diagnosed prenatally, whereas the others were not followed up during pregnancy. 9 of the patients had parenchyma inside the sac, while the rest had none. 5 patients required shunts. All of the patients were followed up by the departments of neurosurgery, pediatrics, pediatric neurology, neonatal, pediatric gastroenterology, and genetics for their needs. It was demonstrated that folic acid supplementation before conception greatly reduces the incidence of encephalocele. It would be appropriate to inform the families of babies diagnosed with encephalocele in detail at prenatal follow-up about what problems they can expect in the future. Follow-up of encephalocele patients must be done with a multidisciplinary approach to ensure a quality life throughout their life.