Spina Bifida

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Spina Bifida

  1. 1. Spina Bifida Thomas B. King, M. Ed. Hospital Education Program VCU Health Care System
  2. 2. Definition of Spina Bifida (SB) Spina Bifida is a disorder involving incomplete development of the brain, spinal cord, and/or their protective coverings
  3. 3. Other defined considerations <ul><li>Failure of the fetus’s spine to “close” properly during the first month of pregnancy </li></ul><ul><li>May be surgically repaired shortly after birth, but the nerve damage is permanent </li></ul><ul><li>Nerve damage results in varying degrees of paralysis to lower extremities </li></ul><ul><li>National Institute of Neurological Disorders and Stroke </li></ul>
  4. 7. Causes <ul><li>Occurs in utero </li></ul><ul><li>No known cause </li></ul><ul><li>It is believed that folic acid deficiency plays a role </li></ul>
  5. 8. Levels of severity or types of SB <ul><li>Myelomeningocele – the severest form, the spinal cord and the protective covering protrude </li></ul><ul><li>Meningocele – only the menignes protrude </li></ul><ul><li>Occulta – mildest form in which one or more vertebrae are malformed </li></ul>
  6. 9. Associated difficulties <ul><li>Paraplegia </li></ul><ul><li>Hydrocephalus </li></ul><ul><li>Sexual dysfunction </li></ul><ul><li>Skeletal deformities </li></ul><ul><li>Bowel and bladder incontinence </li></ul><ul><li>Cognitive impairmement </li></ul>
  7. 11. Incidence <ul><li>Myelomeningocele is relatively common and affects about 1 in 2000 live births </li></ul><ul><li>The incidence of all SB is estimated to be around 1 -2 per 1000 </li></ul>

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