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Myelomeningocele

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181. Spine imaging

including Chiari malformation (30%), diastematomyelia (20%), spinal segmentation anomalies and systemic developmental anomalies (VACTERL), and connective tissue disease (Marfan’s). 3 Spinal dysraphism Includes closed spinal dysraphism (lipomyelocele, lipomyelomeningocele, or dermal sinus) as well as open spinal dysraphism (meningocele, myelocele, or myelomeningocele) Advanced imaging of the spine is considered medically necessary for diagnosis and management when results of imaging will impact treatment (...) , myelomeningocele, spina bifida, and dorsal dermal sinus. 7 Ultrasound of the spine can be performed in neonates prior to ossification of the cartilaginous spine 7 and is a useful screening test in newborns and in utero, 8 helping to select patients who require further evaluation with MRI, which has higher diagnostic accuracy but is more time intensive and which may require sedation. 9 Tethered cord Advanced imaging of the spine is considered medically necessary for diagnosis and management when results

2019 AIM Specialty Health

182. Appropriate Use Criteria: Imaging of the Brain

under 5 months of age Rationale Congenital anomalies of the central nervous system can be classified 2 into disorders of dorsal/ventral induction such as myelomeningocele, holoprosencephaly, Dandy-Walker variant, or craniosynostosis, disorders of neural proliferation such as microcephaly and megalencephaly, disorders of neuronal migration such as schizencephaly and cortical heterotopias, and disorders of myelination such as adrenoleukodystrophy and Canavan disease. There are characteristic imaging

2019 AIM Specialty Health

184. 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

186. Bladder Stones

) [ ] but no difference in long-term continence rates. 3.3.5. Urinary tract reconstructions and special situations 3.3.5.1. Neurogenic bladder Patients with neurogenic bladder secondary to spinal cord injury or myelomeningocele are at increased risk of forming bladder stones. Within eight to ten years, 15-36% of patients with spinal cord injury will develop a bladder stone [ , ]. The absolute annual risk of stone formation in patients with a catheter is 4% compared with 0.2% for those voiding with clean intermittent

2019 European Association of Urology

190. 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

191. 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

194. 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

195. Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis

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

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2017 Infectious Diseases Society of America

197. Healthcare-associated Ventriculitis and Meningitis Guideline, 5th Edition

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

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2017 Congress of Neurological Surgeons

198. Neural-Tube Defects and Antiretroviral Treatment Regimens in Botswana. (PubMed)

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

199. 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

200. Diagnostic value of ultrasonography in spinal abnormalities among children with neurogenic bladder (PubMed)

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

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2017 Electronic physician

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