• Bikash Pyakhurel, Anita Lamichhane, Bikash Bhandari, Navachandra Oli, and Somraj Lamichhane.
• Department of Pediatrics, Lumbini Medical College, Palpa, Nepal.
• JNMA J Nepal Med Assoc. 2021 Oct 15; 59 (242): 1040-1043.

AbstractA full-term female baby presented at 24 hours of life at the emergency department with occipital encephalocele, bilateral cleft lip, and cleft palate. She was born to a second gravida mother with no consanguinity between the parents. On examination, encephalocele was 10centimeters x 7centimeters in size with bilateral cleft lip and palate. It presents the opportunity for healthcare professionals to learn about a group of congenital neurological disorders in the content of a rare case presentation and highlights the importance of ultrasonography in the antenatal period for the detection of neural tube defects in the early stage for proper counselling and management. A compulsory prenatal diagnosis of the suspected family should be done by the intervention of the public sector of any country so that we can prevent and avoid abnormal birth.

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