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Spina Bifida. Haley Parent Anatomy and Physiology – A February 3, 2011. What is spina bifida?. Latin: “split spine” Birth defect caused by the incomplete closing of the embryonic neural tube ( meninges )
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Spina Bifida Haley Parent Anatomy and Physiology – A February 3, 2011
What is spina bifida? • Latin: “split spine” • Birth defect caused by the incomplete closing of the embryonic neural tube (meninges) • Embryonic neural tube: the skin that covers the brain and spinal cord. Spinal cord forms normally while meninges does not. • Vertebrae under the spinal cord are not fully formed and remain not fused and open. • If opening is large enough, a portion of the spinal cord may protrude through the opening in the bones. • A fluid sac may surround the spinal cord. • Usually detected before birth via ultra sound • The failure of the neural tube to close occurs during the first month in utero.
Types of Spina Bifida Meningocele Spina bifida occulta Spina bifida cystica Myelomeningocele
Meningocele(Meh-nin-joe-seal) Most common form of spina bifida May cause paralysis urinary or bowel dysfunction Some people do not have symptoms of spina bifida
Spina bifida occulata “Occulata” – “hidden” There is a break in the vertebrae, but it is so small the spinal cord does not protrude -skin looks normal. Most people don’t know they have it May cause back pain
Spina bifida cystica A cyst protrudes through the break in the vertebrae
Myelomeningocele Most severe form of spina bifida cystica. The nervous tissue is exposed with no membrane, which can cause life-threatening infections. The nerves in the cord are not always properly developed, and this may cause paralysis.
Treatment • Neurosurgeons can operate to close the opening in the back. • The spinal cord is put back inside the spine and covered with meninges. • Open fetal surgery can be performed if discovered before birth • Shunts may be installed to provide a constant flow of cebrospinal fluid • Some after surgery do not show signs of having spina bifida, while others may need the assistance of walkers, leg braces, wheelchairs, etc.
Bibliography http://wiki.cns.org/wiki/index.php/Spina_bifida http://kidshealth.org/parent/system/ill/spina_bifida.html http://nervous-system.emedtv.com/meningocele/meningocele.html http://www.nervous-system-diseases.com/meningocele.html http://physioforu.blogspot.com/2009/04/spina-bifida-latin-split-spine-is.html