LONG-TERM OUTCOME IN SURGICALLY TREATED SPINA-BIFIDA CYSTICA

被引：32

作者：

DATE, I ^{[1
]}

YAGYU, Y ^{[1
]}

ASARI, S ^{[1
]}

OHMOTO, T ^{[1
]}

机构：

[1] OKAYAMA NATL HOSP,DEPT NEUROL SURG,OKAYAMA,OKAYAMA,JAPAN

来源：

SURGICAL NEUROLOGY | 1993年 / 40卷 / 06期

关键词：

SPINA BIFIDA CYSTICA; MYELOMENINGOCELE; LONG-TERM FOLLOW UP; OPERATION;

D O I：

10.1016/0090-3019(93)90049-7

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This report describes the long-term operative outcome of 72 patients with spina bifida cystica. The period of follow-up was between 4 and 20 years. In our series, 17 patients died, with the mortality rate increasing as the lesions were more rostral. All cases involving only a meningocele are living without handicap. The cases of spina bifida cystica with hydrocephalus had higher morbidity and mortality when compared to those without hydrocephalus. We conclude that the rostro-caudal location, the content of the sac, and whether there is associated hydrocephalus are important factors influencing the long-term prognosis of spina bifida cystica.

引用

页码：471 / 475

页数：5

共 21 条

[1] Ames, Schur, Results of treatment of 171 consecutive myelomeningocele—1963 to 1968, Pediatrics, 50, pp. 466-470, (1972)
[2] Charney, Weller, Sutton, Bruce, Schut, Management of the newborn with myelomeningocele: Time for a decision-making process, Pediatrics, 75, pp. 58-64, (1985)
[3] Chaseling, Johnston, Besser, Meningoceles and the tethered cord syndrome, Child Nerv Syst, 1, pp. 105-108, (1985)
[4] Freeman, The shortsighted treatment of myelomeningocele: a long-term case report, Pediatrics, 53, pp. 311-313, (1974)
[5] Hoffman, Spinal dysraphysm, Am Fam Physician, 36, pp. 129-136, (1987)
[6] Humphreys, Spinal dysraphysm, Neurosurgery, 3, pp. 2041-2052, (1985)
[7] Laurence, Neurological and intellectual sequelae of hydrocephalus, Arch Neurol, 20, (1969)
[8] Laurence, Tew, Natural history of spina bifida cystica and cranium bifidum cysticum, Arch Dis Child, 46, pp. 127-138, (1971)
[9] Lorber, Results of treatment of myelomeningocele, An analysis of 524 unselected cases, with special reference to possible selection for treatment, 13, pp. 279-303, (1971)
[10] Lorber, Spina bifida cystica: results of treatment of 270 consecutive cases with criteria for selection for the future, Arch Dis Child, 47, pp. 854-873, (1972)

← 1 2 3 →