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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Main Authors: Ernesto Enrique Horta-Tamayo, Diana Rosa Ortega-Raez, Lary Benice Rodríguez-Santillán
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas 2024-05-01
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.
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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