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Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
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Split Cord Malformation: Presentation, Management, and Surgical Outcome.

Nada Alnefaie1, Ahoud Alharbi1, Othman Bin Alamer1

  • 1College of Medicine, Kind Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

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|January 26, 2020
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Summary
This summary is machine-generated.

Split cord malformation (SCM) is a rare congenital anomaly. Surgical correction in children shows minimal complications and favorable outcomes, with most patients experiencing symptom improvement.

Keywords:
DiastematomyeliaDiplomyeliaSCMSpine dysraphismSplit cord malformation

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Area of Science:

  • Pediatric Neurosurgery
  • Spinal Cord Anomalies
  • Congenital Malformations

Background:

  • Split cord malformation (SCM) is a rare spinal cord anomaly.
  • Surgical indications and outcomes for SCM remain subjects of debate.
  • SCM often presents with nonspecific symptoms and may be associated with other deficits.

Purpose of the Study:

  • To evaluate the surgical outcomes and complications of split cord malformation.
  • To analyze patient demographics and treatment timelines for SCM.
  • To assess the long-term efficacy of SCM corrective surgery.

Main Methods:

  • Retrospective review of a hospital database (1998-2018).
  • Inclusion of 25 patients diagnosed with SCM.
  • Descriptive statistics used for data analysis.

Main Results:

  • The mean age at diagnosis was 4.4 years; 72% of patients underwent surgery.
  • Postoperative complications were minimal (CSF leakage, transient urinary retention/leg paresis).
  • 81% of patients showed postoperative improvement, with no new deficits at long-term follow-up.

Conclusions:

  • Most split cord malformation cases are diagnosed in childhood.
  • SCM corrective surgery is associated with minimal complications.
  • Favorable outcomes, including symptom improvement and hydronephrosis resolution, are common after SCM surgery.