Improvement of motor function and decreased need for postnatal shunting in children who had undergone intrauterine myelomeningocele repair

Arquivos de Neuro-Psiquiatria

Tereza Cristina Carbonari De Faria¹  Sergio Cavalheiro¹  Wagner Jou Hisaba¹  Antonio Fernandes Moron¹  Maria Regina Torloni¹  Ana Lucia Batista De Oliveira¹  Carolina Peixoto Borges¹ 

关键词: myelomeningocele;    spinal dysraphism;    gait;    fetal diseases;    surgery;    meningomielocele;    disrafismo espinal;    marcha;    doencas fetais;    cirurgia;   

DOI  :  10.1590/0004-282X20130104

来源: SciELO

【 摘 要 】

Objective To compare neuromotor development between patients who did and those who did not undergo intrauterine myelomeningocele repair. Methods Children with myelomeningocele aged between 3.5 and 6 years who did undergo intrauterine repair (Group A, n=6) or not (Group B; n=7) were assessed for neuromotor development at both anatomical and functional levels, need for orthoses, and cognitive function. Results Intrauterine myelomeningocele repair significantly improved motor function. The functional level was higher than the anatomical level by 2 or more spinal segments in all children in Group A and 2 children in Group B, with a significant statistical difference between groups (p<0.05). Five children in Group A and one in Group B were community ambulators. Conclusion Despite the small sample, it was observed that an improvement of motor function and decreased need for postnatal shunting in the 6 children who had undergone intrauterine myelomeningocele repair.

【 授权许可】

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