Document Detail


Myeloschisis Repair in a Premature Neonate with a Birth Weight of 599 g.
MedLine Citation:
PMID:  22571956     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
This report describes the case of a neonate with myeloschisis weighing 599 g that underwent an operation for spinal cord reconstruction resulting in substantial neuronal functional recovery. At 28 weeks of gestation, oligohydramnios was detected and the female fetus was diagnosed with intrauterine growth retardation. At birth by emergency caesarean section, she showed lumbosacral myeloschisis and complete paralysis of the lower extremities. Surgical repair and spinal cord reconstruction was performed 2 days after birth by closing the neural placode. Total blood loss was only 2 ml. Within 3 months of the operation, lower extremity neurologic function gradually improved down to the level of the knee joint. To our knowledge, this case is the lowest recorded body weight for a neonate with myeloschisis repair at birth, and this further suggests the possibility of improvement of lower extremity neurologic function after birth and surgical reconstruction.
Authors:
Shizuo Oi; Tomoru Miwa; Masahisa Kobayashi; Hiroyuki Ida
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-09
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  -     ISSN:  1423-0305     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 S. Karger AG, Basel.
Affiliation:
Division of Pediatric Neurosurgery, Jikei University Hospital, Women's and Children's Medical Center, Tokyo, Japan.
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