Background: Encephalocoeles are herniation of the brain and its meninges via a midline cranial vault defect or at base skull, site local mesenchymal disruption. It accounts for 10% to 20% all spinal dysraphisms found in 1/5000 live births.Method: is 5 year retrospective study on 42 cases encephalocoele managed Nigerian Tertiary Medical Centre. We extracted clinical findings surgical management ...