Office of Dietary Supplements. Shepard CL, et al. Pregnancy among mothers with spina bifida. Journal of Pediatric Urology. Swaroop VT, et al. Orthopedic issues in myelomeningocele spina bifida. Moise KJ Jr. Current selection criteria and perioperative therapy used for fetal myelomeningocele surgery.
Obstetrics and Gynecology. Riggin EA. Allscripts EPSi. Mayo Clinic. July 23, Ahn ES expert opinion. Patel DM, et al. Sleep-disordered breathing in patients with myelomeningocele. Journal of Neurosurgery: Pediatrics. Goetzl LM. Folic acid supplementation in pregnancy. Ruano R expert opinion. Dukhovny S, et al. Open neural tube defects: Risk factors, prenatal screening and diagnosis, and pregnancy management.
Prenatal screening and testing. Rei J, et al. Endoscopic third ventriculostomy for the treatment of hydrocephalus in a pediatric population with myelomeningocele. World Neurosurgery. However, the sack does not contain any part of the spinal cord. This is a mild type of spina bifida. It does not cause any disabilities and may go unnoticed until later in life. In this type, there is no damage to the spinal cord or the nerves.
The symptoms of spina bifida are different for each type. They can also vary from person to person within each type. All of the exact causes of spina bifida are not specifically understood. However, it involves a combination of genetics and environmental factors.
A child born with spina bifida may not have any relatives with the condition, even though genetics play a factor. For children, treatment focuses on determining the extent of symptoms and disabilities as they develop and preventing those that can be prevented.
Childhood is also the time for parents and medical staff to instill a positive attitude toward treatment and management to help the child develop a positive outlook. By adulthood, the majority of symptoms and disabilities are known.
Coping mechanisms, medications, therapies, and any walking aids are normally in place. Many children with spina bifida grow up to attend college and have careers. Some also live independently. However, ongoing medical issues can develop throughout the life of a person with spina bifida. Further, some people with more severe disabilities may struggle socially due to stigma and have difficulty finding careers that will fit with their disabilities. However, a good support network can help ease the negative effects.
As a result, when the spine forms, the bones of the spinal column do not close completely around the developing nerves of the spinal cord. Part of the spinal cord may stick out through an opening in the spine, leading to permanent nerve damage. Because spina bifida is caused by abnormalities of the neural tube, it is classified as a neural tube defect.
Children born with spina bifida often have a fluid-filled sac on their back that is covered by skin, called a meningocele. If the sac contains part of the spinal cord and its protective covering, it is known as a myelomeningocele.
The signs and symptoms of these abnormalities range from mild to severe, depending on where the opening in the spinal column is located and how much of the spinal cord is contained in the sac. Related problems can include a loss of feeling below the level of the opening, weakness or paralysis of the feet or legs, and problems with bladder and bowel control. Some affected individuals have additional complications, including a buildup of excess fluid around the brain hydrocephalus and learning problems.
With surgery and other forms of treatment, many people with spina bifida live into adulthood. In a milder form of the condition, called spina bifida occulta, the bones of the spinal column are abnormally formed, but the nerves of the spinal cord usually develop normally. Unlike in the more severe form of spina bifida, the spinal cord does not stick out through an opening in the spine.
Spina bifida occulta most often causes no health problems, although rarely it can cause back pain or changes in bladder function. Spina bifida is one of the most common types of neural tube defect, affecting an estimated 1 in 2, newborns worldwide. For unknown reasons, the prevalence of spina bifida varies among different geographic regions and ethnic groups. In the United States, this condition occurs more frequently in Hispanics and non-Hispanic whites than in African Americans.
Spina bifida is a complex condition that is likely caused by the interaction of multiple genetic and environmental factors. Some of these factors have been identified, but many remain unknown. Changes in dozens of genes in individuals with spina bifida and in those of their mothers may influence the risk of developing this type of neural tube defect.
Seventy to ninety percent of children with this condition also have too much fluid on their brains. This happens because the fluid that protects the brain and spinal cord is unable to drain like it should. The fluid builds up, causing pressure and swelling. Children who do not have Spina Bida can also have this problem, so parents need to check with a doctor.
A child with Meningomyelocele usually is operated on within two to three days of birth. This prevents infections and helps save the spinal cord from more damage.
A child with Meningocele usually has it treated with surgery, and more often than not, the child is not paralyzed.
Most children with this condition grow up one, but they should be checked by a doctor because they could have other serious problems, too. A child with OSD should see a surgeon. Most experts think that surgery is needed early to keep nerves and the brain from becoming more damaged as the child grows. Spina Occulta usually does not need to be treated. Women who are old enough to have babies should take folic acid before and during the first three months of pregnancy.
Because half of the pregnancies in the United States are unplanned, the Spina Bifida Association asks women to take a vitamin with mcg 0. Women who have a child or sibling with Spina Bida, have had an affected pregnancy or have Spina Bida themselves should take mcg 4.
Folic acid is a vitamin that the body needs to grow and be healthy. It is found in many foods, but the man-made or synthetic form in pills is better absorbed by our bodies. Children and young adults with Spina Bida can have mental and social problems.
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