Successful developmental outcome in intrauterine myelomeningocele repair

被引:8
|
作者
Zambelli, Helder
Barini, Ricardo
Iscaife, Alexandre
Cursino, Kleber
de Fatima A. Braga, Angelica
Marba, Sergio
Sbragia, Lourenco
机构
[1] Univ Estadual Campinas, Fac Ciencias Med, Dept Surg, Div Pediat Surg & Maternal Fetal Med, BR-13081970 Campinas, SP, Brazil
[2] Univ Estadual Campinas, Div Pediat Neurosurg, Dept Neurol, Sao Paulo, Brazil
[3] Univ Estadual Campinas, Dept Obstet & Gynecol, Campinas, SP, Brazil
[4] Univ Estadual Campinas, Dept Anesthesiol, Sao Paulo, Brazil
[5] Univ Estadual Campinas, Dept Pediat, Div Neonatol, Campinas, SP, Brazil
关键词
myelomeningocele; Arnold-Chiari; hydrocephalus; prenatal diagnosis; follow-up; intrauterine surgery;
D O I
10.1007/s00381-006-0169-5
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction Myelomeningocele (MM) is one of the forms of dysraphism. Hydrocephalus secondary to Arnold-Chiari (AC) malformation is responsible for the morbidity and mortality of the disease. The intrauterine repair of MM may reverse AC and limit hydrocephalus progression. Objective The aim of this work is to report the successful outcome of a case of intrauterine correction of MM, with favorable evolution and birth at 36 weeks of pregnancy. Case report KCMC, 19 years old, was submitted to intrauterine repair of MM at 24 weeks of gestational age after approval by the family and the Research Ethics Committee of the School of Medical Sciences-UNICAMP. Conclusion Although it is not the standard option for surgical correction, selected MM cases with early fetal diagnosis may be eligible for intrauterine repair, when there is consensus with the Research Ethics Committees and family members.
引用
收藏
页码:123 / 126
页数:4
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