A study of the clinical profile and outcome of spina bifida
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 2
Abstract
Neural tube defects (NTDs) are a group of congenital anomalies characterized by defects in dorsal midline structures, including neural tissue, dura, muscle, bone and/or skin. The clinical presentations and the follow-up of these patients requires attention to various end organs besides the nervous system. To evaluate the clinical profile and surgical outcome of children with spina bifida. Out of a total of 74 patients treated at our institute for spina bifida between June 2013 to august 2015, 74 cases of spina bifida were analyzed retrospectively and prospectively. The clinical profile, radiological findings and urodynamic studies were recorded. Craniospinal MRI was done in patients to screen for Arnold Chiari malformations and monitoring of hydrocephalus was done as a management protocol at our institute for these children. All these patients except two underwent surgery for correction and closure of the spinal defect. Associated anomalies were treated accordingly. They were clinically assessed over a mean follow up period of 1.3years, ranging from 2months to 2½ years. 73% of the patients presented in the neonatal age group. Of which, 72% presented with a visible sac over the back.72% of the cases were Myelomeningocoeles. 79% of the defects were in the lumbosacral region.30% presented with sensorimotor loss or bladder bowel incontinence. Sensorimotor improvement was seen in 12.5% after repairing the defect with the help of physiotherapy and braces. 30% of the patients were diagnosed to have hydrocephalus, of which 33% required a CSF diversion procedure. The postoperative course of spina bifida repair was found to be uneventful in 90% of the patients.
Authors and Affiliations
Theophilus Nikita Kumar| General Surgery Department, Bangalore Medical College and Research Institute Correspondence Email: nixie_reading@hotmail.com, Ramesh M. K| General Surgery Department, Bangalore Medical College and Research Institute
Keywords
Related Articles
- EP ID EP11583
- DOI -
- Views 266
- Downloads 11
EVALUATION OF MODIFIED HODGE TEST AS AN INDICATOR OF KLEBSIELLA PNEUMONIAE CARBAPENEMASE (KPC) PRODUCTION BY USING bla KPC GENE PCR
Introduction: Carbapenems belong to the Beta Lactam group of antimicrobial agents. They are often used as “lastline agents†or “antibiotics of last resort†in critically ill patients. Carbapenem resistance in Ent...
A Review of Fatigue Condition in Patients with Type II Diabetes in Isfahan Endocrine and Metabolism Research Center
Complications of Diabetes such as Fatigue is a serious obstacle hindering the enhancement of health behaviors, including participation in Diabetes self-care programs, and is considered as a challenging problem for nurse...
Postural control and balance assessment in children 15 years old with type 1 diabetes
The purpose of the study was to evaluate the balance and postural control in children 15 years old with type 1 diabetes . all of children participated in this study have ten years chronicity of diabetes. Thirty children...
The Neuroprotective Effects of Alcoholic Extract of Levisticum Officinale on Alpha Motoneurons’ Degeneration After Sciatic Nerve Compression in Male Rats
As peripheral neurons are injured, several inflammatory factors will be released from the fiber of the injured nervous leading to morphological and biochemical changes in the injured point. This changes ultimately resul...
A cross sectional survey on knowledge, attitude and practices of health care professionals towards tobacco control in south India
Smoking tobacco is one of the leading and preventable cause of death worldwide. Apart from the responsibility of the Governments and the Non-governmental organizations, it is the duty of every health care professional t...