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Successful surgical management of anterior cervical meningomyelocele associated with Klippel-Feil deformity using anterior vertebral reconstruction: a case report.
Br J Neurosurg
November 2024
CHU de Poitiers, Service de Neurochirurgie du rachis, Chirurgie de la Douleur et du Handicap, France.
Case Report: A rare case of Klippel-Feil syndrome associated with anterior cervical meningomyelocele is reported, treated successfully using partial cervical corpectomy, spinal cord microsurgical reinsertion into the spinal canal, and vertebral reconstruction. A 71-year-old patient presented with upper limb paraesthesia, chronic neck pain, and progressive motor distal impairment. Cervical spine imaging revealed an anterior cervical meningomyelocele digging into C7 vertebra and underlying adjacent congenital fusion blocks.
View Article and Find Full Text PDFSymptomatic Multi-Nodular Fourth Ventricular Choroid Plexus Papillary Fibrosis in the Context of Chiari II Malformation: Case Report and Literature Review.
Pediatr Neurosurg
October 2024
Division of Neurosurgery, Children's Hospital of Orange County, Orange, California, USA.
Article Synopsis
- Chiari II malformation (CM-II) is a congenital condition involving the displacement of brain structures through the foramen magnum, and it can lead to various mass lesions in the brain.
- A 9-year-old boy with a history of CM-II and related health issues underwent successful surgery to remove multiple masses from his fourth ventricle, which improved his hand dexterity and strength.
- The pathology of these masses was characterized by choroid plexus papillary fibrosis, a finding not previously documented in similar cases, highlighting a unique histological profile of the lesions.
Myelomeningocele operated in utero and the incontinent bladder pattern: Mid-term follow up of a prospective study.
J Pediatr Urol
July 2024
Department of Urology, CACAU-NUPEP, São Paulo, Brazil. Electronic address:
Introduction: In-utero myelomeningocele repair is the gold standard treatment after the publication of the MOMS trial. We have performed a retrospective analysis from our prospective in-utero myelomeningocele closure database (started in 2011), and selected only patients with the incontinent bladder pattern according to the Leal da Cruz categorization (Leal da Cruz, et al. J Urol 2015) to review mid-term clinical outcomes.
View Article and Find Full Text PDFReconstructive Options for Pressure Ulcers in Pediatric Patients.
Children (Basel)
June 2024
Pediatric Surgery and Urological Department, Upper Silesian Child Health Center in Katowice, Silesian University of Medicine, 40-052 Katowice, Poland.
Background: Pressure ulcers pose significant challenges in terms of treatment, often exhibiting a low success rate and a propensity for recurrence. Children with neurological impairments such as myelomeningocele and those with spinal injuries are particularly vulnerable to developing pressure ulcers. Despite advancements, achieving successful reconstruction remains a formidable task.
View Article and Find Full Text PDFPrenatal Diagnosis and Outcomes of Cervical Meningocele and Myelomeningocele.
J Med Ultrasound
January 2024
Department of Obstetrics and Gynecology, New Taipei Municipal Tucheng Hospital, New Taipei, Taiwan.
Prenatal diagnosis of myelomeningocele remains challenging for obstetricians, ultrasonographers, and radiologists, although the increased maternal serum alpha-fetoprotein level aids in the confirmative diagnosis. Fetal cervical myelomeningocele and meningocele are very rare and unique types of myelomeningocele. Prenatal diagnosis of cervical myelomeningocele and meningocele should include the differential diagnosis and association of many intracranial and spino-skeletal pathogenetic variants and genetic diseases, including subependymal nodular heterotopia and Klippel-Feil syndrome.
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