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Reflections upon the intrauterine repair of myelomeningocele

Giuseppe Talamonti1

  • 1Dep. of Neurosurgery, ASST Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy. tala_nch@yahoo.it.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|March 22, 2024
PubMed

The intrauterine repair of myelomeningocele presents certain advantages and has gained widespread acceptance. It significantly reduces the incidence of Chiari-2 anomalies and hydrocephalus, and it is thought to enhance the neurologic outcome. Nevertheless, several issues remain unsettled and there are no negligible disadvantages. After working with patients with myelomeningocele for 30 years, I thought about how we currently treat them. There are ethical, organizational, neurological, obstetrical, and postnatal aspects worth discussing.

Keywords:
Multidisciplinary managementMyelomeningocelePediatricPostnatal surgeryPrenatal surgerySpinal dysraphism

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