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Occult spinal dysraphism.

M Bajpai1, R Kataria, D K Gupta

  • 1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi.

Indian Journal of Pediatrics
|December 29, 2000
PubMed
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Occult spinal dysraphism, often linked to skin abnormalities, requires surgical intervention. Surgical treatment in 50 patients effectively addressed conditions like lipoma and diastematomyelia, preventing further neurological decline.

Area of Science:

  • Pediatric Neurosurgery
  • Spinal Cord Malformations
  • Congenital Abnormalities

Background:

  • Spina bifida with skin anomalies frequently indicates underlying occult intraspinal lesions.
  • These lesions include tumors, lipomas, diastematomyelia, and tethered spinal cord.

Purpose of the Study:

  • To evaluate the surgical outcomes for occult spinal dysraphism in pediatric patients.
  • To assess the efficacy of surgical intervention in preventing late neurological deficits.

Main Methods:

  • Retrospective analysis of 50 patients diagnosed with lipomeningomyelocoele, lumbosacral lipoma, or diastematomyelia.
  • Surgical procedures included laminectomy, tumor excision, spur removal, and spinal cord detethering.
  • Patient age ranged from 2 months to 7 years, with an average of 2 years.

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Main Results:

  • 40% of patients presented with neurological deficits, including lower limb weakness and bladder/bowel dysfunction.
  • All patients underwent surgical correction tailored to their specific diagnosis.
  • No patient experienced the development of late neurological deficits post-surgery.

Conclusions:

  • Surgical management of occult spinal dysraphism is effective in treating associated intraspinal lesions.
  • Early surgical intervention can prevent the progression of neurological deficits in affected children.