SPINA BIFIDA CYSTICA  MENINGOCELE

DR  JANAKI.V; DR NAVAKALYANI. T

Volume : VI, Issue : I, January - 2016

SPINA BIFIDA CYSTICA MENINGOCELE

Dr Janaki. V, Dr Navakalyani. T

Abstract :

Back ground: most of the congeniltal anomalies of spinal cord are due to non closure of neural tube in 3rd wk of gestation. Most of the defects affect the tissues overlying the spinal cord that is meningeal coverings , verteal arches , muscles and skin. spinabifida is referred to defective verteal arches . when the defect is severe it leads to protrusion of meninges called meningocele. Protrusion of parenchyma of spinalcord along with meninges leads to formation of meningomyelocele. Method: The present case is one amongst the neural tube defects presented in the literature. 50 dead foetuses were ought from government maternity hospital and various other private hospitals for post graduate dissertation works and all the dead fetuses were infused with formalin solution for preservation of the fetuses. The Crown Rump length of fetuses were measured and the gestational age was calculated. Result: A 28 weeks old foetus presented certain abnormalities in the mid–line at the level of lumbar region in the form of a sac. A further examination in sac revealed the protrusion of meninges only with no incorporation of nervous tissue in the walls of the sac. The entire ssac is covered by very thin skin. There is no evidence of associated defective calvaria that is absence of cranio lacunia. There is no evidence of myeloschisis Coclusion: it is a case of Spina Bifida–Cystica.To provide information regarding the use of folic acid in combination with a multivitamin supplement for the prevention of neural tube defects and other congenital anomalies, so that physicians, midwives, nurses, and other health care workers can assist in the education of women in the pre–conception phase of their health care.