Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases
Introduction: myelomeningocele is the most common form of spinal dysraphism. In the African context, its diagnosis and late surgical treatment are common. Patient information: Three cases of infants diagnosed with myelomeningocele with signs of epithelialization in which the placode was totally or p...
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Format: | Article |
Language: | Spanish |
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Editorial Ciencias Médicas
2024-05-01
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Series: | Acta Médica del Centro |
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Online Access: | https://revactamedicacentro.sld.cu/index.php/amc/article/view/1952 |
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author | Ernesto Enrique Horta-Tamayo Diana Rosa Ortega-Raez Lary Benice Rodríguez-Santillán |
author_facet | Ernesto Enrique Horta-Tamayo Diana Rosa Ortega-Raez Lary Benice Rodríguez-Santillán |
author_sort | Ernesto Enrique Horta-Tamayo |
collection | DOAJ |
description | Introduction: myelomeningocele is the most common form of spinal dysraphism. In the African context, its diagnosis and late surgical treatment are common.
Patient information: Three cases of infants diagnosed with myelomeningocele with signs of epithelialization in which the placode was totally or partially resected, without causing an additional defect, are described. The performance of previous imaging studies was conditioned by the lack of availability at the institution and the associated costs. Two cases showed complications (cerebrospinal fluid fistula, surgical wound infection, and post-repair hydrocephalus).
Conclusions: Late presentation of patients to specialized centers is a characteristic of surgical treatment of myelomeningocele in low-resource settings. Surgical resection, partial or total, of an exposed and devitalized placode, with signs of epitalization, does not seem to influence the postoperative neurological status. |
format | Article |
id | doaj-art-84bbef3d2d7d4b86a9f6706a9bf01614 |
institution | Kabale University |
issn | 2709-7927 |
language | Spanish |
publishDate | 2024-05-01 |
publisher | Editorial Ciencias Médicas |
record_format | Article |
series | Acta Médica del Centro |
spelling | doaj-art-84bbef3d2d7d4b86a9f6706a9bf016142025-02-05T02:09:39ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272024-05-01182e1952e19521239Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three casesErnesto Enrique Horta-Tamayo0Diana Rosa Ortega-Raez1Lary Benice Rodríguez-Santillán2Hôpital de Référence de MaradiHospital Provincial Clínico Quirúrgico “Lucía Iñiguez Landín”Hospital Provincial Clínico Quirúrgico “Lucía Iñiguez Landín”Introduction: myelomeningocele is the most common form of spinal dysraphism. In the African context, its diagnosis and late surgical treatment are common. Patient information: Three cases of infants diagnosed with myelomeningocele with signs of epithelialization in which the placode was totally or partially resected, without causing an additional defect, are described. The performance of previous imaging studies was conditioned by the lack of availability at the institution and the associated costs. Two cases showed complications (cerebrospinal fluid fistula, surgical wound infection, and post-repair hydrocephalus). Conclusions: Late presentation of patients to specialized centers is a characteristic of surgical treatment of myelomeningocele in low-resource settings. Surgical resection, partial or total, of an exposed and devitalized placode, with signs of epitalization, does not seem to influence the postoperative neurological status.https://revactamedicacentro.sld.cu/index.php/amc/article/view/1952mielomeningoceleespina bífida abiertareparación tardía |
spellingShingle | Ernesto Enrique Horta-Tamayo Diana Rosa Ortega-Raez Lary Benice Rodríguez-Santillán Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases Acta Médica del Centro mielomeningocele espina bífida abierta reparación tardía |
title | Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases |
title_full | Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases |
title_fullStr | Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases |
title_full_unstemmed | Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases |
title_short | Partial resection of epithelialized placode without added neurological deficit in myelomeningoceles. Presentation of three cases |
title_sort | partial resection of epithelialized placode without added neurological deficit in myelomeningoceles presentation of three cases |
topic | mielomeningocele espina bífida abierta reparación tardía |
url | https://revactamedicacentro.sld.cu/index.php/amc/article/view/1952 |
work_keys_str_mv | AT ernestoenriquehortatamayo partialresectionofepithelializedplacodewithoutaddedneurologicaldeficitinmyelomeningocelespresentationofthreecases AT dianarosaortegaraez partialresectionofepithelializedplacodewithoutaddedneurologicaldeficitinmyelomeningocelespresentationofthreecases AT larybenicerodriguezsantillan partialresectionofepithelializedplacodewithoutaddedneurologicaldeficitinmyelomeningocelespresentationofthreecases |