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Prognosis and Prevention of Myelomeningocele

Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Feb 12, 2016


Prognosis and Prevention

Prognosis

Myelomeningocele is compatible with prolonged life. Surgical correction is possible. Neurological damage may however be irreversible. Problems with the spinal cord may also arise during the growth spurt that the child goes through during puberty. Difficulties like scoliosis, foot or ankle deformities, dislocated hips, and joint tightness or contractures may ensue.


Prevention

Folic acid supplements may help to prevent neural tube defects like myelomeningocele. Usually 0.4 mg of folic acid a day is recommended to women planning to become pregnant. Pregnant women need 1mg of folic acid per day. Antenatal screening is also important. Genetic counseling may be recommended.

Support Groups

The following links have more information about spina bifida:

  1. www.spinabifidaassociation.org
  2. http://www.marchofdimes.com/
  3. www.ninds.nih.gov/disorders/
    spina_bifida/spina_bifida.htm

References:

  1. Nelson Textbook of Pediatrics. 18th ed.
  2. The Merck Manual
  3. Cohen AR, Robinson S: Myelomeningocele and myelocystocele. In Youmans Neurological surgery. Volume 2. 5th edition. Edited by Winn HR. Philadelphia: Saunders; 2003:3215-3228.
  4. Aubry MC, Aubry JP, Dommergues M: Sonographic prenatal diagnosis of central nervous system abnormalities.
  5. Child Nerv Syst 2003, 19:391-402. Publisher Full Text
  6. Boyd PA, Wellesley DG, De Walle HEK, Tenconi R, Garcia-Minaur S, Zandwijken GR, Stoll C, Clementi M: Evaluation of the prenatal diagnosis of neural tube defects by fetal ultrasonographic examination in different centers across Europe. J of Medical Screening 2000, 7:169-174. Publisher Full Text

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