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Myelomeningocele

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181. Neuro-urology

. Arch Phys Med Rehabil, 1994. 75: 297. 255. Bennett, J.K., et al. Collagen injections for intrinsic sphincter deficiency in the neuropathic urethra. Paraplegia, 1995. 33: 697. 256. Block, C.A., et al. Long-term efficacy of periurethral collagen injection for the treatment of urinary incontinence secondary to myelomeningocele. J Urol, 2003. 169: 327. 257. Schurch, B., et al. Intraurethral sphincter prosthesis to treat hyporeflexic bladders in women: does it work? BJU Int, 1999. 84: 789. 258. Reuvers

2019 European Association of Urology

184. Neuro-urology

sphincter deficiency in the neuropathic urethra. Paraplegia, 1995. 33: 697. 256. Block, C.A., et al. Long-term efficacy of periurethral collagen injection for the treatment of urinary incontinence secondary to myelomeningocele. J Urol, 2003. 169: 327. 257. Schurch, B., et al. Intraurethral sphincter prosthesis to treat hyporeflexic bladders in women: does it work? BJU Int, 1999. 84: 789. 258. Reuvers, S.H.M., et al. Heterogeneity in reporting on urinary outcome and cure after surgical interventions

2018 European Association of Urology

185. Adult Urodynamics

incontinence that the absence of detrusor overactivity (DO) on a single urodynamic study does not exclude it as a causative agent for their symptoms . (Clinical Principle) Neurogenic Bladder (NGB) 9. Clinicians should perform PVR assessment, either as part of a complete urodynamic study or separately, during the initial urological evaluation of patients with relevant neurological conditions (e.g., spinal cord injury and myelomeningocele) and as part of ongoing follow-up when appropriate. ( Standard (...) (SCI), multiple sclerosis, Parkinson's disease, stroke/cerebrovascular accident, traumatic brain injury, myelomeningocele (MMC), brain or spinal cord tumor, transverse myelitis, back or spine disease (including herniated disk, cauda equina syndrome), diabetes, peripheral nerve injury and other lower motor neuron diseases. Neurogenic bladder dysfunction can include problems of bladder storage (including ability to maintain continence) as well as bladder emptying and also introduces the concern

2018 American Urological Association

186. Neonatal stabilisation for retrieval

seconds) · Metabolic acidosis · Blood loss · Decreased urine output Causes 57 · Blood loss—placenta abnormalities (umbilical cord rupture, placental abruption, placenta praevia), twin to twin transfusion syndrome · Acute blood loss (e.g. intracranial or pulmonary haemorrhage) · Plasma or fluid losses: o Congenital abnormality (e.g. gastroschisis or myelomeningocele) o Pleural effusion o Other body water loss (e.g. vomiting, gastric suctioning, evaporative skin) · Ineffective cardiac output · Sepsis

2018 Clinical Practice Guidelines Portal

187. Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis Full Text available with Trip Pro

risk of CSF shunt infection include premature birth (especially when associated with intraventricular hemorrhage), younger age, previous shunt infection, cause of hydrocephalus (more likely after purulent meningitis, hemorrhage, and myelomeningocele), less experienced neurosurgeon, higher number of people traversing the operating theater, exposure to perforated surgical gloves, intraoperative use of the neuroendoscope, longer duration of the shunt procedure, insertion of the catheter below (...) with myelomeningocele, may have undergone multiple intraabdominal procedures related to either bowel or bladder continence and may be at greater risk for shunt infection via this route. A third mechanism is through the skin, such as after insertion of a needle into the reservoir or the shunt to culture the CSF or assess patency, after injection of a drug into the ventricular reservoir, or after erosion of the catheter through the skin. The fourth mechanism is hematogenous seeding; patients with ventriculoatrial

2017 Infectious Diseases Society of America

189. Neural-Tube Defects and Antiretroviral Treatment Regimens in Botswana. Full Text available with Trip Pro

August 2014 through March 2019, surveillance captured 119,477 deliveries; 119,033 (99.6%) had an infant surface examination that could be evaluated, and 98 neural-tube defects were identified (0.08% of deliveries). Among 1683 deliveries in which the mother was taking dolutegravir at conception, 5 neural-tube defects were found (0.30% of deliveries); the defects included two instances of myelomeningocele, one of anencephaly, one of encephalocele, and one of iniencephaly. In comparison, 15 neural-tube

2019 NEJM

190. Peristeen Anal Irrigation System for the Management of Incontinence and Constipation in Patients with VACTERL Association

follow-up study. Spinal Cord. 2013 May;51(5):389-94. PubMed: PM23318554 15. Marte A, Borrelli M. Transanal irrigation and intestinal transit time in children with myelomeningocele. Minerva Pediatr. 2013 Jun;65(3):287-93. PubMed: PM23685380 16. Loftus C, Wallace E, McCaughey M, Smith E. Transanal irrigation in the management of neurogenic bowel dysfunction. Ir Med J. 2012 Jul;105(7):241-3. PubMed: PM23008885 17. Preziosi G, Gosling J, Raeburn A, Storrie J, Panicker J, Emmanuel A. Transanal irrigation (...) for bowel symptoms in patients with multiple sclerosis. Dis Colon Rectum. 2012 Oct;55(10):1066-73. PubMed: PM22965406 Peristeen Anal Irrigation System 5 18. Ausili E, Focarelli B, Tabacco F, Murolo D, Sigismondi M, Gasbarrini A, et al. Transanal irrigation in myelomeningocele children: an alternative, safe and valid approach for neurogenic constipation. Spinal Cord. 2010 Jul;48(7):560-5. PubMed: PM20084075 Qualitative Studies 19. Wide P, Glad MG, Drott P, Mattsson S. Independence does not come

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

191. Impact of tethered cord release on symptoms of Chiari II malformation in children born with a myelomeningocele Full Text available with Trip Pro

Impact of tethered cord release on symptoms of Chiari II malformation in children born with a myelomeningocele The role of distal traction in the form of a tethered spinal cord in exacerbating anatomical findings or symptoms of Chiari II malformation (CIIM) has been debated for decades. Despite the association of Chiari II malformation with myelomeningocele, the impact of tethered cord release on CIIM symptoms in patients has not been explored.A retrospective review of 59 patients born (...) with a myelomeningocele was performed. A total of 92 untethering procedures were performed in which symptoms of CIIM were present in 29 cases. In 57 out of 92 cases, the patients did not have symptoms of CIIM prior to untethering. Six cases were excluded because cervicomedullary decompression was performed prior to untethering. The response of CIIM symptoms, syrinx size, and cerebellar tonsil position were examined before and after spinal cord untethering.Forty-four characteristic signs and symptoms of CIIM were

2010 Child's Nervous System

192. Strict clinical and radiographic criteria for reduction of CSF shunt placement in patients with spinal myelomeningocele Full Text available with Trip Pro

Strict clinical and radiographic criteria for reduction of CSF shunt placement in patients with spinal myelomeningocele 21042524 2011 07 14 2018 11 13 1998-3948 5 1 2010 Jan Journal of pediatric neurosciences J Pediatr Neurosci Strict clinical and radiographic criteria for reduction of CSF shunt placement in patients with spinal myelomeningocele. 88 10.4103/1817-1745.66667 Wiwanitkit Viroj V Wiwanitkit House, Bangkhae, Bangkok, Thailand - 10160. eng Journal Article India J Pediatr Neurosci

2010 Journal of pediatric neurosciences

193. Effects of birth advancement in Chiari malformation in a surgical myelomeningocele model in rabbits. (Abstract)

Effects of birth advancement in Chiari malformation in a surgical myelomeningocele model in rabbits. In myelomeningocele (MMC), Chiari II malformation progresses during gestation because of the continuous loss of cerebrospinal fluid at the site of the defect. Our purpose was to assess the impact of birth advancement (BA) and prenatal corticosteroid treatment (PCT) on Chiari malformation in a surgical MMC model in rabbits.A surgical MMC-like defect was created in 75 fetal rabbits. Animals were

2010 Journal of Pediatric Surgery

194. Contributory Factors to Postoperative Spinal Fusion Complications for Children With Myelomeningocele. (Abstract)

Contributory Factors to Postoperative Spinal Fusion Complications for Children With Myelomeningocele. This is a retrospective review of all children with myelomeningocele (MMC) who were undergoing surgery for scoliosis at our institution.Our aim was to investigate possible correlations between poor nutritional indexes and/or positive urinary cultures before surgery to perioperative infection risk.Patients who have scoliosis secondary to MMC have been shown to have a high rate of infectious

2010 Spine

195. Activity Level, Functional Health, and Quality of Life of Children with Myelomeningocele as Perceived by Parents. Full Text available with Trip Pro

Activity Level, Functional Health, and Quality of Life of Children with Myelomeningocele as Perceived by Parents. To provide the best health care for individuals with myelomeningocele (MM), clinicians and researchers need to understand their health and functional status as well as quality of life. The literature is mixed regarding the relationship between motor level and health-related quality of life (HRQOL) for these individuals.We compared the HRQOL of children with MM at the L2 and above

2010 Clinical Orthopaedics and Related Research

196. Kyphectomy Improves Sitting and Skin Problems in Patients with Myelomeningocele. Full Text available with Trip Pro

Kyphectomy Improves Sitting and Skin Problems in Patients with Myelomeningocele. Progressive kyphosis occurs in up to 20% of patients with myelomeningocele. Severely affected patients can develop recurrent skin breakdown, osteomyelitis, sitting imbalance, and poor cosmetic appearance.We (1) assessed the ability of kyphectomy to restore an intact skin envelope and allow comfortable seating in a wheelchair; (2) reviewed the complications of kyphectomy and spinal fusion in myelomeningocele; and (3 (...) ) determined whether patients requiring unexpected reoperation had worse correction or more ulceration compared with those patients treated with a single surgery.We retrospectively reviewed the records of 23 children with thoracic-level myelomeningocele who were treated with kyphectomy and spinal fusion since 1980. Indications for surgery included recurrent skin breakdown (15 patients) and poor sitting balance or unacceptable cosmetic deformity (three patients). We evaluated operative technique, type

2010 Clinical Orthopaedics and Related Research

197. Posterior Kyphectomy for Myelomeningocele With Anterior Placement of Fixation: A Retrospective Review. Full Text available with Trip Pro

Posterior Kyphectomy for Myelomeningocele With Anterior Placement of Fixation: A Retrospective Review. Kyphosis in myelomeningocele is a rare and difficult problem. Many strategies have been used with no single procedure universally agreed on. Techniques involving anterior and posterior fixation may provide better fusion.We describe a novel procedure for anteroposterior kyphectomy in patients with myelomeningocele. Apical posterior kyphectomy is followed by the insertion of two rods distally

2010 Clinical Orthopaedics and Related Research

198. Kyphectomy in Children with Myelomeningocele. Full Text available with Trip Pro

Kyphectomy in Children with Myelomeningocele. Patients with myelomeningocele and rigid lumbar and thoracolumbar kyphosis face substantial functional difficulties with sitting and lying supine and are prone to skin breakdown over the gibbus and risk of infection. Kyphectomy, along with cordotomy and segmental spinal instrumentation down to the pelvis, is one alternative that can provide reliable correction of the deformity but also can maintain that correction over a period of time.We determined (...) the fusion rates, deformity correction and maintenance, and perioperative complications of kyphectomy with long segmental spinal instrumentation using the Warner and Fackler technique.We retrospectively reviewed the charts and radiographs of 33 patients with myelomeningocele who had kyphectomy with segmental spinal instrumentation down to the pelvis between 1991 and 2006. The average age at surgery was 7.6 years (range, 3-19 years). Twenty-one patients had a minimum 2-year followup (average, 7.0 years

2010 Clinical Orthopaedics and Related Research

199. Diagnostic value of ultrasonography in spinal abnormalities among children with neurogenic bladder Full Text available with Trip Pro

cord and soft-tissue masses; also, a spinal MRI scan was performed. The existence of spina bifida, sacral agenesis, posterior vertebral arch defects, mass, tethered cord, myelomeningocele, lipoma and fatty infiltration, dural ectasia, hydromyelia and syringomyelia, and diastomatomyelia was recorded during each imaging scan. Chi-square and Fisher's tests were used for data analysis using SPSS 19.0 software, and the sensitivity and specificity of ultrasonography findings were calculated by MedCale 26 (...) software.Forty patients with neurogenic bladder (22 males/18 females), with an average of 25.73±19.15 months, were enrolled. The most common abnormality was found in patients' MRI was tethered cord syndrome (70%). There was a significant relationship between ultrasonographic and MRI findings in spina bifida abnormalities (p=0.016), sacral agenesis (p=0.00), tethered cord (p=0.00), myelomeningocele (p=0.00), and lipoma and fatty infiltration (p=0.01). Ultrasonography had a sensitivity of 20.0%-100

2017 Electronic physician

200. AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Neonatal and Infant Spine

puncture. Pediatr Radiol 2001; 31:399–402. 12. Gerscovich EO, Maslen L, Cronan MS, et al. Spinal sonography and magnetic resonance imaging in patients with repaired myelomeningocele: comparison of modalities. J Ultrasound Med 1999; 18:655–664. 13. Kucera JN, Coley I, O'Hara S, Kosnik EJ, Coley BD . The simple sacral dimple: diagnostic yield of ultra- sound in neonates. Pediatr Radiol. 2015;45(2):211-216. 14. American Institute of Ultrasound in Medicine. AIUM Physician Training Guidelines http

2016 American Institute of Ultrasound in Medicine

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