Myelomeningocele: a Brazilian University Hospital experience

Arquivos de Neuro-Psiquiatria

Maria M.m. Ulsenheimer²  Sérgio A. Antoniuk²  Lúcia H.c. Dos Santos²  Marcos P. Ceccatto²  Antônio Ernesto Da Silveira¹  Ana Paula Ruiz¹  Paulo Egger¹  Isac Bruck¹ 

[1] ,Universidade Federal do Paraná Departamento de Pediatria

关键词: meningomyelocele;    neural tube defects;    neurological disabilities;    mielomeningocele;    defeitos do tubo neural;    deficiências neurológicas;   

DOI  :  10.1590/S0004-282X2004000600006

来源: SciELO

【 摘 要 】

We analyzed 31 children with myelomeningocele born between July 1990 and July 2000. Follow-up median was 24 months (6-68months). Only 2 mothers had a known etiologic factor (diabetes mellitus). Twelve had the correct prenatal diagnosis. All children were born at term; 23 by cesarean; 13 had rupture of the membrane. Surgical correction had a 4 days median (1 to 44 days). Lumbosacral lesions were the most frequent (46%). Thirty patients were hydrocephalic, shunt was placed in 27. Meningitis was 4 times more frequent in shunted patients. Seven became epileptic (19.4%). Denver II test showed significant delay in gross motor development . Neurogenic bladder was diagnosed in 12 patients. Congenital clubfoot was the main orthopedic malformation (53%). Six infants died. Nowadays, 17 patients are being followed. A multidisciplinary approach probably helps for a better quality of life.

【 授权许可】

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