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A multispecialty team of clinicians led by Darrell Cass, M.D., the director of Fetal Surgery at Cleveland Clinic's Fetal Center, surgically corrected the fetus's spina bifida in February and the ...
Spina bifida is a type of neural tube defect related to but distinct from other types such as anencephaly and encephalocele. [13] Most cases of spina bifida can be prevented if the mother gets enough folate before and during pregnancy. [3] Adding folic acid to flour has been found to be effective for most women. [14]
This cessation of spinal cord function can result in paralysis of lower extremities. Documented cases of paralysis of the anal sphincter in newborns have been observed when spina bifida has gone untreated. [11] While life-threatening, many cases of spina bifida can be corrected surgically if operated on within 72 hours of birth.
Spina bifida occulta means hidden split spine. [20] In this type of neural tube defect, the meninges do not herniate through the opening in the spinal canal. [19] The most frequently seen form of spina bifida occulta is when parts of the bones of the spine, called the spinous process, and the neural arch appear abnormal on a radiogram, without ...
Also, an extended CVD created by a wide opening and big duroplasty can cause a cerebellar "slump". This complication needs to be corrected by cranioplasty. [55] In certain cases, irreducible compression of the brainstem occurs from in front (anteriorly or ventral) resulting in a smaller posterior fossa and associated Chiari malformation.
In tethered spinal cord cases spina bifida can be accompanied by tethering of the spinal cord but in rare cases with Spina bifida occulta. Tethering of the spinal cord tends to occur in the cases of Spina bifida with mylomeningocele. In most people the spine grows faster than the spinal cord during development which causes the end of the spinal ...
Risks of fetal surgery, specifically prenatal spina bifida repair, include premature rupture of membranes, uterine rupture in future pregnancies, premature birth and intraspinal inclusion cysts or a tethered cord in the fetus or newborn baby. [4] Open fetal surgery has proven to be reasonably safe for the mother. [3]
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