Pregnangy and Delivery in the Patients With Spina Bifida

Yamamoto, Masashi; Yamada, Kaoru; Hirata, N; Kawata, Yoichi; Hirayama, Akihide; Kashiwai, Hiroki; Momose, Hitoshi; Shiomi, T; Suemori, T; Natsume, Osamu; Hirao, Yoshihiko

doi:10.5980/jpnjurol1989.88.1005

Cited by 3 publications

(2 citation statements)

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“…In a similar vein, Yamamoto et al [30] note that both life expectancy and quality of life have improved for people with spina bifida, and that as a result pregnancy is becoming more common in adolescent and adult female patients. From their analysis of six deliveries in Japan they note that careful urological and obstetric surveillance is required.…”

Section: Reviewmentioning

confidence: 99%

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Symon

2003

Health Qual Life Outcomes

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Section: Reviewmentioning

confidence: 99%

Untitled

Symon

2003

Health Qual Life Outcomes

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“…It is important not to burst the dural sac during birth and to perform a cesarean section, if necessary [23,27]. It has been recommended to cover the dural sac of the neonate with a wet pad dampened with physiologic serum, to obtain a wound culture and initiate antibiotics and clean the wound with antiseptic materials.…”

Section: Discussionmentioning

confidence: 99%

Cervical Spinal Dysraphism

et al. 2010

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Objective: Cervical spinal dysraphism is a rare congenital spinal pathology. The results obtained from our series are compared with the results obtained from other series of studies in the literature. Methods: Seven patients with cervical myelomeningocele and meningocele who underwent surgery between January 1996 and March 2009 at the YYU Faculty of Medicine in the Department of Neurosurgery were retrospectively studied. Results: The referral ages of the patients (6 females and 1 male) varied between 4 days and 4 months (median 1 month). A stalk lesion covered with a dysplastic skin formed as a sac and located at the cervical midline was demonstrated in all of the patients. Cervical myelomeningocele was present in 4 patients, while cervical meningocele was present in 3 patients; however, Chiari type II malformation and hydrocephaly were present in 3 patients with myelomeningoceles. Diastematomyelia and a filum terminal lipoma were present in 1 of the patients. Conclusion: In this series, in contrast to the literature, we noted that the number of girls with spinal dysraphism with a cervical myelomeningocele and meningocele was greater than the number of boys. Chiari type II malformation, hydrocephaly and motor weakness in patients with cervical spinal dysraphism are less frequent when compared to patients with caudal spinal dysraphism. The structure of the sac is also more durable and, accordingly, a cerebrospinal fluid leakage is uncommon.

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