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Published on: March 28, 2025
Congenital hydrocephalus associated with myeloschisis
Yasser Jeelani1, J Gordon McComb
1Division of Neurosurgery, Children's Hospital Los Angeles, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Open neural tube defects (NTDs) involve exposed neural tissue and cerebrospinal fluid (CSF) loss, leading to severe central nervous system malformations like hydrocephalus. Myelomeningocele and myeloschisis present similarly, differing only in an initial cystic component.
Area of Science:
- Developmental biology
- Neurology
- Medical science
Background:
- Neural tube defects (NTDs) are congenital abnormalities classified as open or closed.
- Open NTDs feature exposed neural tissue and cerebrospinal fluid (CSF) leakage.
- Closed NTDs lack exposed neural tissue and CSF drainage.
Purpose of the Study:
- To differentiate between subtypes of open neural tube defects.
- To highlight commonalities and distinctions in clinical presentation.
Main Methods:
- Review of existing literature on open neural tube defects.
- Comparative analysis of myelomeningocele, myeloschisis, and hemimyelomeningocele.
Main Results:
- Open NTDs, including myelomeningocele, myeloschisis, and hemimyelomeningocele, involve CSF loss during fetal development.
- This CSF loss results in significant central nervous system malformations.
- Hydrocephalus is a common complication in these conditions.
Conclusions:
- Myelomeningocele and myeloschisis are forms of open NTDs with similar clinical presentations.
- The primary distinction lies in the presence (myelomeningocele) or absence (myeloschisis) of a cystic component at birth.
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