Shunt Complications in School-Age and Adolescent Patients with Spina Bifida

Spina Bifida ◽  
1999 ◽  
pp. 236-236
Author(s):  
Fernando Rueda-Franco
Keyword(s):  
Spina Bifida ◽  
School Age ◽  
Shunt Complications ◽  
Adolescent Patients

The Incidence of Foot Deformity in Japanese School-Age Patients with Spina Bifida

Spina Bifida ◽  
1999 ◽  
pp. 357-358
Author(s):  
Haruhisa Yanagida ◽  
Toshio Fujii ◽  
Akihiko Takashima ◽  
Kazuyuki Takamura
Keyword(s):  
Spina Bifida ◽  
School Age ◽  
Foot Deformity

Cerebrospinal Fluid Shunt Complications after Urological Procedures in Children with Myelodysplasia

Neurosurgery ◽  
2002 ◽  
Vol 50 (2) ◽  
pp. 313-320 ◽  
Author(s):  
Philipp R. Aldana ◽  
John Ragheb ◽  
Jason Sevald ◽  
Katheryn Nathe ◽  
Rafael Gosalbez ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Spina Bifida ◽  
Cerebrospinal Fluid Shunt ◽  
Shunt Surgery ◽  
Complex Treatment ◽  
Shunt Complications ◽  
Urological Surgery ◽  
Increased Risk ◽  
Urological Procedures

ABSTRACT OBJECTIVE Invasive urological procedures, commonly performed on patients with myelodysplasia, may contribute to the occurrence of cerebrospinal fluid shunt complications. Shunt complications that occurred after urological procedures in children with myelodysplasia were studied. METHODS Shunt complications occurring after urological procedures were examined in 29 patients. Differences between patients with or without complications were studied. Complications were analyzed according to the location of abnormality, the treatment, and the timing after shunt and urological surgery. RESULTS The 1-year incidence of shunt complications after a urological procedure had been performed was 31% (overall incidence, 41.4%). Shunt complications were observed only after intraperitoneal urological procedures. Most complications were distal, occurring more than 1 year after the preceding shunt surgery. The patients in the shunt complications group had significantly more intraperitoneal urological procedures (3.2 versus 0.8, P = 0.004) and previous shunt revisions (2.0 versus 0.9, P = 0.015) than had the group without complications. As compared with the group of patients with extraperitoneal complications, the intraperitoneal group experienced significantly more infections (4 of 9 versus 0 of 10, P = 0.014) requiring more complex treatment, and their complications occurred significantly earlier in the follow-up period after the urological procedure had been performed (7.2 versus 27.3 mo, P = 0.006). The patients in the group with extraperitoneal complications experienced significantly more mechanical shunt malfunctions than did the intraperitoneal group (9 of 10 versus 4 of 9, P = 0.016), which required simple shunt revisions. CONCLUSION Patients with spina bifida and shunted hydrocephalus may have an increased risk of developing intraperitoneal shunt complications after intraperitoneal urological procedures have been performed. These intraperitoneal shunt complications usually occur a few months after urological surgery and require complex treatment.

scholarly journals Continence and dryness in spina bifida patients at school age

2007 ◽  
Vol 4 (S1) ◽  
Author(s):  
Pieter Dik ◽  
Sarah van Loopik ◽  
Aart Klijn ◽  
Rafal Chrzan ◽  
Tom de Jong
Keyword(s):  
Spina Bifida ◽  
School Age

scholarly journals Motor Contingency Learning and Infants with Spina Bifida

2013 ◽  
Vol 19 (2) ◽  
pp. 206-215 ◽  
Author(s):  
Heather B. Taylor ◽  
Marcia A. Barnes ◽  
Susan H. Landry ◽  
Paul Swank ◽  
Jack M. Fletcher ◽  
...  
Keyword(s):  
Spina Bifida ◽  
Sensory Feedback ◽  
School Age Children ◽  
School Age ◽  
Typically Developing ◽  
Contingency Learning ◽  
Motor Responses ◽  
Arm Reaching ◽  
Conjugate Reinforcement ◽  
Sensory Motor

AbstractInfants with Spina Bifida (SB) were compared to typically developing infants (TD) using a conjugate reinforcement paradigm at 6 months-of-age (n= 98) to evaluate learning, and retention of a sensory-motor contingency. Analyses evaluated infant arm-waving rates at baseline (wrist not tethered to mobile), during acquisition of the sensory-motor contingency (wrist tethered), and immediately after the acquisition phase and then after a delay (wrist not tethered), controlling for arm reaching ability, gestational age, and socioeconomic status. Although both groups responded to the contingency with increased arm-waving from baseline to acquisition, 15% to 29% fewer infants with SB than TD were found to learn the contingency depending on the criterion used to determine contingency learning. In addition, infants with SB who had learned the contingency had more difficulty retaining the contingency over time when sensory feedback was absent. The findings suggest that infants with SB do not learn motor contingencies as easily or at the same rate as TD infants, and are more likely to decrease motor responses when sensory feedback is absent. Results are discussed with reference to research on contingency learning in infants with and without neurodevelopmental disorders, and with reference to motor learning in school-age children with SB. (JINS, 2013,19, 1–10)

Intraspinal Lipoma Associated with Tethered Cord Syndrome in School-Age and Adolescent Patients: Surgical Management and Prognosis

Spina Bifida ◽  
1999 ◽  
pp. 131-137
Author(s):  
Joon Ki Kang ◽  
Byung Chul Son ◽  
Sin Soo Jeun ◽  
Yong Kil Hong ◽  
Chun Kun Park ◽  
...  
Keyword(s):  
Surgical Management ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
School Age ◽  
Intraspinal Lipoma ◽  
Adolescent Patients

Age-Related Parenting Stress Differences in Mothers of Children with Spina Bifida

2003 ◽  
Vol 93 (3_suppl) ◽  
pp. 1223-1232 ◽  
Author(s):  
Michelle M. Macias ◽  
Conway F. Saylor ◽  
Brandy P. Rowe ◽  
Nancy L. Bell
Keyword(s):  
Spina Bifida ◽  
Parenting Stress ◽  
Family Support ◽  
Children With Disabilities ◽  
Short Form ◽  
Stress Index ◽  
School Age Children ◽  
School Age ◽  
Age Related ◽  
Severity Of Disability

This study examined whether ages of child and parent were risk factors for general parenting stress and disability-specific stress in families of children with spina bifida. Parents of 64 children with spina bifida completed the Parenting Stress Index–Short Form, Parents of Children with Disabilities Inventory, and measures of family support and resources. Scores of families with children under 6 years (preschool) versus 6- to 12-yr.-old children (school age) were compared, as were scores of mothers above or below Age 35. Parents of school-aged children reported significantly higher stress on the Concerns for the Child domain of the Parents of Children with Disabilities Inventory. Mothers over 35 tended to report higher stress in the Concerns for the Child and Medical/Legal Concerns domains of the Parents of Children with Disabilities Inventory. No associations with medical severity, socioeconomic status, family resources, or family support were detected. As the children age and disability-related differences become more apparent, the same level of functioning and severity of disability may be associated with additional parenting stress. Older mothers and those with school-age children may need more resources than current social support systems typically provide.

A Therapeutic Technique for the Improvement of Lingua-Alveolar Valving Abilities

1978 ◽  
Vol 9 (3) ◽  
pp. 169-175 ◽  
Author(s):  
James Paul Dworkin
Keyword(s):  
School Age Children ◽  
School Age ◽  
Bite Block ◽  
Therapeutic Technique ◽  
Remedial Program

This study was designed to determine if a remedial program using a bite-block device could inhibit hypermandibular activity (HMA) and thereby improve the lingua-alveolar valving (LAV) abilities of four school-age children who demonstrated multiple lingua-alveolar (LA) phonemic errors. The results revealed significant improvements in LAV and LA phoneme articulatory skills in all of the children who used the bite-block device to reduce HMA subsequent to comprehensive training sessions.

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