The objective is to describe a rare case of lumbosacral lipomyelomeningocele with Tethered Cord Syndrome. Tethered cord syndrome is a neurological disorder caused by tissue attachments that limit the movement of spinal cord within the spinal column. A 7 years old girl child presented with lumbosacral swelling with non healing ulcer on foot and with weakness of lower limbs since childhood. MRI scan of lumbosacral spine suggest spinal dysraphism in L3-L5 vertebrae with lipomeningomyelocele from L2 to S2 levels with tethered low lying cord .The patient underwent surgical procedure. The majority cases of tethered cord syndrome are related to spinal dysraphism.Children with spinal dysraphism, especially those with lipomyelomeningocele, who may be associated with TCS, which may be asymptomatic at an early stage, require intensive follow-up care and observation. Keyword: Spinal dysraphism, neurological disorder, TCS, lipomeningomyelocele.
Background and Objective: Pregnancy has undesirable effects on women lives which lead to reduction in quality of life. Assessment of Quality of Life is necessary among pregnant women because of association with the various complications. Hence, the present study was conducted to evaluate the patient’s health-related quality of life during complications of pregnancy. Method: A prospective observational single centered study was conducted on 81 pregnant women who were diagnosed with complications (Anemia, UTI, Pre-eclampsia and Hyperemesis gravid arum) in Obstetrics & Gynecology department of NIMS Hospital, Jaipur, (Rajasthan). Result: The mean score of physical component scale (PCS) and mental component scale (MCS) was found to be 58.43±0.70 and 75.8±1.25 respectively. The mean score at the time of discharge were physical functioning 69.8±13.77, role limitation due to physical problems 79.01±16.15, role limitation due to emotional problems 68.00±17.10, vitality 48.68±7.30, mental health 98.64±4.25, social functioning 87.22±18.71, bodily pain 80.61±12.67, general health 72.5±4.06 and reported health transition 82.71±12.89 and overall score at p-value was found to be significant. Conclusion: HRQoL of pregnant women associated with complications has been improved where mental health tends to recover more quickly than physical health. Keywords: Quality of Life; Anemia; UTI; Pre-eclampsia; Hyperemesis gravidarum.
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