Arquivos de Neuro-Psiquiatria
On-line version ISSN 1678-4227
ULSENHEIMER, Maria M.M. et al. Myelomeningocele: a Brazilian University Hospital experience. Arq. Neuro-Psiquiatr. [online]. 2004, vol.62, n.4, pp. 963-968. ISSN 1678-4227. http://dx.doi.org/10.1590/S0004-282X2004000600006.
We analyzed 31 children with myelomeningocele born between July 1990 and July 2000. Follow-up median was 24 months (6-68months). Only 2 mothers had a known etiologic factor (diabetes mellitus). Twelve had the correct prenatal diagnosis. All children were born at term; 23 by cesarean; 13 had rupture of the membrane. Surgical correction had a 4 days median (1 to 44 days). Lumbosacral lesions were the most frequent (46%). Thirty patients were hydrocephalic, shunt was placed in 27. Meningitis was 4 times more frequent in shunted patients. Seven became epileptic (19.4%). Denver II test showed significant delay in gross motor development . Neurogenic bladder was diagnosed in 12 patients. Congenital clubfoot was the main orthopedic malformation (53%). Six infants died. Nowadays, 17 patients are being followed. A multidisciplinary approach probably helps for a better quality of life.
Keywords : meningomyelocele; neural tube defects; neurological disabilities.