Search Results

You are looking at 1 - 10 of 460 items for :

  • "spinal dysraphism" x
  • Refine by Access: all x
Clear All
Restricted access

Double spinal dysraphism

Report of three cases

Sepideh Keshavarzi, Farideh Nejat, and Hadi Kazemi

the presence of multiple spinal NTDs in our patients. Although the multisite closure model of Van Allen and colleagues 17 appears to provide the best current definition of the anatomical origin of caudal NTDs, there are still many uncertainties about the mechanism and sequence of the simultaneous appearance of multiple spinal dysraphisms at distant levels. Future studies may provide a better understanding of these rare cases. References 1 Bailey IC : Double meningocele . Arch Dis Child 46 : 549 – 50 , 1971 10.1136/adc.46.248.549 2 Bertan V

Full access

Matthew C. Davis, Betsy D. Hopson, Jeffrey P. Blount, Rachel Carroll, Tracey S. Wilson, Danielle K. Powell, Amie B. Jackson McLain, and Brandon G. Rocque

Current data are frequently extrapolated from studies that also include patients with cerebral palsy. 3 , 36 In this retrospective cohort study, we compared adults with spinal dysraphism who identified themselves as permanently disabled with those who were employed, those seeking work, current students, volunteer workers, or homemakers with respect to their continence status for both bladder and bowel, education status, race, functional level of lesion, and medical comorbidities. We hypothesize that both medical and psychosocial factors interact to influence employment

Restricted access

Courtney Pendleton, Edward S. Ahn, George I. Jallo, and Alfredo Quiñones-Hinojosa

T he surgical repair of spinal dysraphism has evolved over the past century, reflecting changes in the understanding of potential causes, related conditions, and potential complications. Early treatments included injections of irritants, 7 aspiration of the contents of the sac, 12 excision of the sac, 13 and simple closure of skin over the defect. 11 These interventions in the late 19th and early 20th centuries met with high rates of complications, including hydrocephalus and infection, as well as high mortality rates. 7–9 , 11–13 As neurological

Restricted access

Samantha Hettige, Christopher Smart, Leslie R. Bridges, and Andrew J. Martin

. Postoperative Course Postoperatively the child made an uncomplicated recovery. At the 6-month follow-up, she had normal power and sensation in her lower limbs with no restriction in forward flexion and no disturbance in sphincter function. Discussion Congenital lipomas are well described in spinal dysraphism at the lumbosacral canal. Many of these lesions have contained fibrous connective tissue among normal adipose tissue, while other case reports have described a variety of heterotopic cells of ectodermal, mesodermal, or endodermal origin. 2 , 5 , 8 In the case of

Restricted access

R. Shane Tubbs, John C. Wellons III, Bermans J. Iskandar, and W. Jerry Oakes

as macular stains and telangiectasias. 4 These blemishes are thought to represent angioblastic tissue that fails to unite formally with the developing vasculature of the body. 4, 8 Lumbar hemangiomas have historically been listed as cutaneous stigmata indicative of underlying OSD much as facial port-wine stains are indicators of leptomeningeal angiomatosis in Sturge-Weber syndrome. These cutaneous signatures, commonly known as nevus flammeus neonatorum when indicating underlying spinal dysraphism, are often found in association with other skin changes such as

Restricted access

Matthew J. Kole, Jared S. Fridley, Andrew Jea, and Robert J. Bollo

syndrome, occult spinal dysraphism, and tethered cord syndrome has long been recognized, the frequency is unknown, especially as it relates to the type of presacral mass. Despite numerous case reports, very few large series of patients with Currarino syndrome have been reported in the literature, 2 , 5 , 9 , 17 and the true incidence of this syndrome is unknown. Literature Review We performed a search using PubMed and the search term “Currarino.” We eliminated articles written in languages other than English, as well as articles written by authors named “Currarino

Free access

Amy K. Bruzek, Jordan Starr, Hugh J. L. Garton, Karin M. Muraszko, Cormac O. Maher, and Jennifer M. Strahle

symptoms in a cohort of patients with tethered cord and syrinx who were surgically treated for their tethered cord. Methods Following institutional review board approval, all patients (≤ 18 years old) with both a syrinx and closed spinal dysraphism were identified from a group of 14,118 consecutive patients who underwent brain or cervical spine MRI over an 11-year interval at the University of Michigan. All patients with a syrinx and closed spinal dyraphism were identified. Exclusion criteria included the following: 1) Chiari malformation with surgical decompression, and

Restricted access

Bermans J. Iskandar, Jerry Oakes, Colleen McLaughlin, Alan K. Osumi, and Robert D. Tien

evaluate the clinical, embryological, and radiographic significance of such a relationship. In this study, we show that terminal syringohydromyelia is a clinically important anomaly, distinctly different from other types of syringohydromyelia, and frequently associated with occult spinal dysraphism. It is defined as an intramedullary cyst located in the caudal third of the spinal cord which, when large, is often symptomatic and requires treatment ( Fig. 1 ). Fig. 1. Magnetic resonance T 1 -weighted images, sagittal projection, showing a terminal syrinx before

Restricted access

Aaron A. Cohen-Gadol, Brian V. Nahed, Jennifer R. Voorhees, Cormac O. Maher, and Dennis D. Spencer

insight into the evolution of Cushing's technique in the surgical treatment of congenital spinal dysraphism, we will review the records of two patients treated by Cushing at different periods in his career; these records are stored at the Cushing Tumor Registry at Yale University. Clearly, the surgical treatment of myelomeningocele in the era before the introduction of antimicrobial therapy or effective CSF diversionary procedures presented special challenges. Cushing's attempts at the surgical treatment of spinal dysraphism began when he was a junior faculty member at

Full access

Matthew A. Amarante, Jeffrey A. Shrensel, Krystal L. Tomei, Peter W. Carmel, and Chirag D. Gandhi

concerns. Review of Spinal Dysraphisms The clinical spectrum of NTDs includes anencephaly, the group of anomalies considered under the term “spina bifida,” encephalocele, craniorachischisis, and iniencephaly. 35 Of those surviving after birth, and thus those disorders subject to clinical sequelae, the family of defects represented under the term spina bifida is by far the most prevalent. Traditionally spina bifida has been synonymous with “spinal dysraphism.” Although spinal dysraphism should in theory only refer to abnormalities of primary neurulation, the term