"Demographic profile and outcome of meningomyelocele in government medical college of Western UP"
Journal Title: Indian Journal of Forensic and Community Medicine - Year 2018, Vol 5, Issue 1
Abstract
Introduction Meningomyelocele is a birth defect in which the backbone and spinal canal do not close before birth Neural tube defects are one of the most common congenital malformations affecting the brain and spinal cord amp Meningomyelocele is one of the commonest neural tube closure defects The global prevalence of Meningomyelocele has been reported to be 081 per 1000 live births Hydrocephalus may affect as many as 80 of children with Meningomyelocele The use of periconceptional folic acid supplements prevents 5075 of cases of neural tube defects This study aims to evaluate demographic and clinical profile associated anomalies amp outcome of children with MeningomyeloceleMaterials and Methods 113 patients with Meningomyelocele admitted to SVBP hospital Meerut between Septrsquo16 to Augrsquo17 were analyzed prospectively The data regarding demographic and clinical profile with associated congenital anomalies were obtained by questionnaire interview with the parents and patients themselves MRI was the essential investigation in all patients The data was analyzed by SPSS 210 versionResults Mean age of presentation is 91 months MF ratio is 111 Lumbosacral region is involved in 735 patients Hydrocephalus was the most common 646 associated anomaly In 92 cases there is no history of folic acid supplementation amp all patients were from low socioeconomic status Excision amp repair of Meningmyelocele is the most commonly 513 performed surgery while surgical site infection is the most common 195 complication In our study 912 n103 patients improved amp discharged 27 n3 patients expired 44 n5 patients left against medical advice while 18 n2 patients referred to higher centre due to various reasonsConclusion Low socioeconomic status amp no maternal supplementation of folic acid are the important risk factors for the development of Meningomyelocele Timely intervention with excision and repair gives good result Modified rhomboid flap can be use to cover large defectsKeywords Meningomyelocele Hydrocephalus Modified Rhomboid flap
Authors and Affiliations
Manjul Kumar, Dheeraj Raj, Yogita Singh
Keywords
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- EP ID EP486580
- DOI 10.18231/2394-6776.2018.0013
- Views 106
- Downloads 0
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