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Pediatrics in Review Nov 2010
Review
Topics: Continuity of Patient Care; Female; Humans; Infant, Newborn; Meningomyelocele; Patient Care Team; Pregnancy; Social Support; Ultrasonography, Prenatal; alpha-Fetoproteins
PubMed: 21041422
DOI: 10.1542/pir.31-11-443 -
Journal of Neurosurgery. Pediatrics May 2023
Topics: Humans; Meningomyelocele
PubMed: 37243564
DOI: 10.3171/2023.4.PEDS23106 -
Neurosurgery Apr 2013
Topics: Animals; Humans; Meningomyelocele
PubMed: 23511825
DOI: 10.1227/NEU.0b013e318282d685 -
Surgical Neurology Feb 1995
Review
Topics: Combined Modality Therapy; Humans; Meningomyelocele
PubMed: 7892653
DOI: 10.1016/0090-3019(95)80117-y -
Child's Nervous System : ChNS :... Jan 2021Meningomyelocele is a serious pathology that requires immediate surgical treatment. Its management is difficult due to accompanying other pathologies and hydrocephalus....
PURPOSE
Meningomyelocele is a serious pathology that requires immediate surgical treatment. Its management is difficult due to accompanying other pathologies and hydrocephalus. Shunt timing is still controversial. Therefore, this study retrospectively assessed 80 patients in order to improve the shunt timing and management of patients with meningomyelocele.
METHODS
A total of 80 patients were followed up for 18-48 (average, 23) months. Patients were analyzed for the following variables: delivery method and time, head circumference monitoring, shunt timing, complication rates of patients who underwent shunting, during the early or follow-up period, accompanying pathologies, size, and localization of lesion.
RESULTS
Patients including 46 males and 34 females have been operated. In 40% of patients, the accompanying pathology was determined. Approximately 85% of patients had hydrocephalus, and a ventriculoperitoneal shunt was placed on 36 symptomatic and 22 patients with hydrocephalus that developed during the follow-up. Differences in shunt-related and general complications were not significant between patients who underwent shunt placement during the same session and patients who underwent shunt placement during the follow-up. However, the incidence of cerebrospinal fluid fistula formation from the wound in patients who underwent shunt placement during the same session was significantly lower than those who underwent shunt placement during follow-up.
CONCLUSIONS
Immediate surgery (within the first 48 h) provides positive results, which is consistent with the existing literature. According to the logistic regression analysis, the placement of the meningomyelocele sac in the lumbosacral region is decisive in shunt insertion. Placing the shunt in the same session for patients with hydrocephalus and later for patients who developed hydrocephalus during the follow-up is recommended as a favorable treatment.
Topics: Female; Fistula; Humans; Hydrocephalus; Male; Meningomyelocele; Retrospective Studies; Ventriculoperitoneal Shunt
PubMed: 32632579
DOI: 10.1007/s00381-020-04786-1 -
Current Opinion in Neurology and... Oct 1990
Review
Topics: Casts, Surgical; Cerebral Palsy; Child; Humans; Meningomyelocele; Orthotic Devices; Treatment Outcome
PubMed: 10148426
DOI: No ID Found -
Journal of Pediatric Rehabilitation... Dec 2017
Topics: Humans; Meningomyelocele; Spinal Dysraphism
PubMed: 29154296
DOI: 10.3233/PRM-170469 -
Journal of Neurosurgery Aug 2007
Topics: Humans; Meningomyelocele; Treatment Outcome
PubMed: 18459878
DOI: 10.3171/PED-07/08/085 -
Neurosurgery Apr 2013
Topics: Animals; Female; Humans; Male; Meningomyelocele; Spinal Cord
PubMed: 23277377
DOI: 10.1227/NEU.0b013e3182846e7c -
British Journal of Plastic Surgery Oct 2001A new method for the repair of meningomyeloceles is described. After neurosurgical repair and closure of the placode, the soft-tissue deficit is closed using a bilobed...
A new method for the repair of meningomyeloceles is described. After neurosurgical repair and closure of the placode, the soft-tissue deficit is closed using a bilobed flap. The flap is based superiorly and laterally to the area to be covered. The first lobe crosses the midline above the defect, and the second lobe goes up the midline perpendicular to the first lobe. Once in place, the flap provides a tension-free repair; no suture lines overlie the cord closure.
Topics: Female; Humans; Infant, Newborn; Male; Meningomyelocele; Surgical Flaps; Treatment Outcome
PubMed: 11583492
DOI: 10.1054/bjps.2001.3680