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Spina bifida occulta in functional enuresis
Praveen Kumar1, S Aneja, Ramesh Kumar
1Department of Pediatrics, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India. kumardrpraveen@rediffmail.com
Indian Journal of Pediatrics
|April 7, 2005
Summary
Spina bifida occulta is common in children with nocturnal enuresis. Behavioral therapy outcomes are similar for enuresis patients with or without spina bifida occulta.
Area of Science:
- Pediatric Urology
- Radiology
- Neurology
Background:
- Nocturnal enuresis is a common pediatric condition.
- Spina bifida occulta is a congenital vertebral anomaly.
- The association between nocturnal enuresis and spina bifida occulta requires further investigation.
Purpose of the Study:
- To determine the incidence of spina bifida occulta in patients presenting with nocturnal enuresis.
- To compare the treatment outcomes of behavioral therapy in enuretic patients with and without spina bifida occulta.
Main Methods:
- Patients diagnosed with enuresis were divided into two groups based on X-ray imaging of the lumbosacral spine.
- The outcomes of behavioral therapy were assessed and compared between the two groups.
Main Results:
- Spina bifida occulta was identified in 18 out of 48 patients (37.5%).
- The most frequent levels affected were S1 (8 patients) and L5-S1 (5 patients).
- No significant difference in treatment outcomes was observed between patients with and without spina bifida occulta after a follow-up of over six months.
Conclusions:
- Spina bifida occulta is a frequent radiological finding in children with nocturnal enuresis.
- The presence of spina bifida occulta does not appear to influence the effectiveness of behavioral therapy for nocturnal enuresis.