Occult spinal dysraphia - a case report
One of the most complex and most difficult congenital anomalies is spina bifida. Peter Van Forest was the first one who noticed this anomaly in 1587, and Recklinghausen, in 1886, classified spina bifida to types and suggested surgical procedures for its management. Earlier name, spina bifida, is cur...
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Veröffentlicht in: | Srpski arhiv za celokupno lekarstvo 2004, Vol.132 (suppl. 1), p.111-114 |
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Sprache: | eng |
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Zusammenfassung: | One of the most complex and most difficult congenital anomalies is spina
bifida. Peter Van Forest was the first one who noticed this anomaly in 1587,
and Recklinghausen, in 1886, classified spina bifida to types and suggested
surgical procedures for its management. Earlier name, spina bifida, is
currently more and more replacing with a term ?defect of neural tube? (NTDs),
or even more, ?spinal dysraphia?. Anomaly can appear at any level of spinal
cord (cervical, thoracal, lumbar and sacral) and posterior localization is
more often than the anterior one. Contrary to the open spinal dysraphism that
can be perceived immediately, closed spinal dysraphism is very deceiving
anomaly, and therefore, it must be treated properly as soon as it is
diagnosed. Because of its seclusion, the term usually used is ?occult spinal
dysraphism (OSD)?. The incidence of this anomaly is unknown, but it has been
reported that it is more common among female children. Etiology of OSD is
also unknown, but some of its risk factors are as follows: previous pregnancy
with NTD, partner with NTD, type 1 diabetes mellitus, usage of
anticonvulsives, a lack of folates in mother?s nutrition. Prenatal diagnose
of OSD is practically impossible. Skin changes, orthopedic, urological and
neurological problems, suggest considering this complex anomaly. X-ray, ECHO,
MRI, as well as neuropsychological examination corroborate diagnosis. At the
same time, the diagnosis (once it is confirmed) represents the indication for
neurosurgical treatment.
nema |
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ISSN: | 0370-8179 2406-0895 |
DOI: | 10.2298/SARH04S1111R |