ABSTRACT
Sincipital [Fronto-ethmoidal] encephalomeningoceles are congenital anomalies that are most common in the area of south east Asia and thus more frequently encountered by the Egyptian neurosurgeons in the Gulf States. 2 cases were seen and operated upon by the authors. The defect through which the encephaloceles exit outside the skull starts at the foramen cecum [in front of the crista galli] and if left, these anomalies cause complex deformities of the naso-orbital skeleton and thus correction at an early age is recommended. The literature concerning this defect is reviewed, as well as a discussion of the relevant embryology, in attempting to define possible etiologies. The novel surgical approach for proper anatomical repair of this anomaly and reasons for preferring this approach were clarified. Potential complications were enumerated