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Spinal DysraphismAka: Caudal Neural Tube Defect, Spinal Meningocele

See Also
Types of Spinal Dysraphism
1. Spina Bifida Occulta
2. Spinal Meningocele
  1. Meninges herniate through posterior vertebral arches
  2. Most often occurs in low back
  3. Anterior herniation at sacrum may also occur
    1. Applies pelvic prEssure
    2. May result in Constipation or bladder abnormality
  4. Usually asymptomatic and covered by full layer skin
3. Myelomeningocele
Diagnosis
1. Transilluminate along low back vertebral column
2. Complete Neurologic Examination
3. Lumbosacral XRAy, CT or MRI
Associated conditions
1. Hydrocephalus
2. Diastematomyelia
3. Tethered spinal cord
4. Spinal Lipoma
5. Syringomyelia
References
1. Behrman (2000) Nelson Pediatrics, Saunders, p. 1804
2. Goetz (1999) Neurology, Saunders, p. 515-16

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