Understanding Spina Bifida

A Comprehensive Guide to Neural Tube Defects

Pediatrics

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Last updated: Mar 24, 2025

What is Spina Bifida?

Spina bifida is a birth defect that occurs when the spine and spinal cord don't form properly during the first month of pregnancy. It's part of a group of conditions called neural tube defects.

Types of Spina Bifida

Spina Bifida Occulta

  • Mildest form
  • Small gap in vertebrae
  • Usually no symptoms
  • Often discovered incidentally

Meningocele

  • Moderate form
  • Spinal cord membrane protrudes
  • Forms fluid-filled sac
  • May require surgical correction

Myelomeningocele

  • Most severe form
  • Spinal cord and nerves exposed
  • Requires urgent surgical intervention
  • Can cause significant disabilities

Common Symptoms

  • Weakness or paralysis of legs
  • Bladder/bowel problems
  • Hydrocephalus (excess fluid in brain)
  • Skin problems
  • Orthopedic complications

Diagnosis

  • Prenatal screening:
    • Maternal blood tests
    • Ultrasound
    • Amniocentesis
  • Postnatal diagnosis:
    • Physical examination
    • Imaging studies

Treatment Options

Surgical Interventions

  1. Closure surgery (24-48 hours after birth)
  2. Shunt placement for hydrocephalus
  3. Corrective procedures for associated conditions

Ongoing Care

  • Physical therapy
  • Occupational therapy
  • Urological care
  • Orthopedic management

Prevention

  • Folic acid supplementation before and during pregnancy
  • Regular prenatal care
  • Healthy lifestyle during pregnancy

Living with Spina Bifida

  • Many individuals lead independent lives
  • Support systems available
  • Regular medical monitoring needed
  • Adaptive equipment may help

When to Seek Medical Care

  • During pregnancy for prenatal care
  • Immediately after birth
  • For routine follow-up care
  • If new symptoms develop

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