Meningomyelocele

Meningomyelocele

What Is Meningomyelocele? Meningomyelocele is a congenital condition in which the spinal cord and its surrounding membranes protrude through an opening in the spine. It is a form of spina bifida and may affect movement, sensation, and nerve function.

When Does It Occur? It develops during early pregnancy when the neural tube does not close completely. Folic acid intake before and during pregnancy plays an important preventive role.

Symptoms

The condition is usually visible at birth and may include:

  • A sac or swelling in the lower back
  • Weakness or paralysis in the legs
  • Loss of sensation
  • Bladder or bowel control problems
  • Associated hydrocephalus in some cases

Diagnosis

It can be diagnosed:

  • During pregnancy via ultrasound
  • After birth through physical examination
  • With MRI for detailed evaluation

Treatment

Surgical treatment is the main approach.

Surgery

The procedure aims to close the spinal defect and protect the spinal cord, helping to:

  • Reduce the risk of infection
  • Preserve neurological function
  • Improve long-term outcomes

 Surgery is usually performed within the first days after birth.


Follow-Up Care

Long-term follow-up is essential and may include:

  • Neurosurgical care
  • Physical therapy
  • Urological follow-up
  • Rehabilitation support

Possible Complications

These may include:

  • Motor impairment
  • Bladder dysfunction
  • Hydrocephalus
  • Infections

Early management helps reduce complications.


Importance of Early Diagnosis

Early diagnosis and timely treatment help:

  • Protect the nervous system
  • Improve quality of life
  • Reduce complications

A Message to Parents

Although meningomyelocele is a complex condition,
early diagnosis, appropriate treatment, and continuous care can significantly improve outcomes.

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