Comparison of Prenatal and Postnatal Management of Patients with Myelomeningocele

被引：22

作者：

Cavalheiro, Sergio ^{[1
]}

Silva da Costa, Marcos Devanir ^{[1
,2
]}

Moron, Antonio Fernandes ^{[3
]}

Leonard, Jeffrey ^{[4
]}

机构：

[1] Fed Univ Sao Paulo UNIFESP, Neurosurg Dept, Rua Pedro de Toledo 715,6th Floor, BR-04024001 Sao Paulo, SP, Brazil

[2] Nationwide Childrens Hosp, Dept Pediat Neurosurg, 700 Childrens Dr, Columbus, OH 43205 USA

[3] Fed Univ Sao Paulo UNIFESP, Dept Obstet, Rua Pedro de Toledo 715,8th Floor, BR-04024001 Sao Paulo, SP, Brazil

[4] Nationwide Childrens Hosp, Neurosurg Dept, FB, Suite 4 A-2,700 Childrens Dr, Columbus, OH 43205 USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2017年 / 28卷 / 03期

关键词：

Myelomeningocele; Fetal surgery; Spina bifida; Hydrocephalus; Chiari II malformation; NEURAL-TUBE DEFECTS; SHUNT PLACEMENT; SPINA-BIFIDA; MOTOR FUNCTION; CEREBELLAR SIGNS; FETAL SPINE; MENINGOMYELOCELE; REPAIR; ULTRASOUND; EXPERIENCE;

D O I：

10.1016/j.nec.2017.02.005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Myelomeningocele (MMC) is a costly lifetime disease with many comorbidities, including sensory and motor lower limb disability, bladder/bowel dysfunction, scoliosis, club foot, and hydrocephalus. MMC treatment options have changed over time because routine use of fetal ultrasonography and MRI has provided prenatal diagnosis and the potential for fetal surgery. There is still no consensus on how to treat the MMC diagnoses prenatally, mainly related to the infrastructure required to operate on pregnant patients. This article provides an overview of prenatal and postnatal MMC repair and the features in the prenatal diagnosis.

引用

页码：439 / +

页数：11

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