Spina bifida cystica in northern Nigeria

1990 ◽  
Vol 6 (2) ◽  
pp. 103-106 ◽  
Author(s):  
O. A. Mabogunje
PEDIATRICS ◽  
1965 ◽  
Vol 35 (4) ◽  
pp. 589-595
Author(s):  
John Lorber

1. The family histories of 722 infants who were born with spina bifida cystica were studied. 2. The index cases were referred for surgical treatment and were not selected in any way from the genetic point of view. 3. Intensive inquiries were made to obtain a complete family pedigree, including a prospective follow-up of siblings born after the index case. 4. Of 1,256 siblings 85 or 6.8% had gross malformation of the central nervous system: spina bifida cystica in 54, anencephaly in 22, and uncomplicated hydrocephalus in 9. 5. Of 306 children born after the index case 25 (8%) or 1 in 12 were affected. 6. There was a progressive increase in multiple cases in the family with increasing family size. In sibships of five or more, multiple cases occurred in 24.1%. 7. In 118 families cases of gross malformation of the central nervous system were known to have occurred among members of the family other than siblings. Cases occurred in three generations. 8. It is possible that spina bifida cystica might be a recessively inherited condition.


BMJ ◽  
1973 ◽  
Vol 4 (5886) ◽  
pp. 189-197 ◽  
Author(s):  
G. K. Smith ◽  
E. D. Smith

PEDIATRICS ◽  
1966 ◽  
Vol 37 (5) ◽  
pp. 787-793
Author(s):  
Angeles Badell-Ribera ◽  
Kenneth Shulman ◽  
Nancy Paddock

Seventy-five patients with variable degrees of spinal cord dysfunction secondary to spina bifida cystica have been studied with special reference to their neurological and psychological status. Their ages ranged from 5 to 21 years. The patients were divided into five different groups on the basis of functional disability secondary to spinal cord dysfunction. Those patients with a history of rapid head enlargement and who had not had neurosurgical treatment for this problem comprised 62% of the population studied (total seventy-five). These patients were considered to have non-progressive hydrocephalus. The hydrocephalic subgroup scored lower in psychological testing and presented a significant discrepancy between verbal and performance scores which could be considered a characteristic sign of brain damage. The psychological test scores of the patient with the same severe paralytic defect but without hydrocephalus were essentially normal. The physical rehabilitation potential of these patients is dependent upon the degree of physical disability, but their over-all rehabilitation achievement is largely determined by their intellectual capacity and psychosocial adjustment. We believe that if we are to improve the long-range prognosis of such children, one of the objectives of neurosurgery should be early and effective treatment of the hydrocephalus.


2005 ◽  
Vol 22 (4) ◽  
pp. 379-384 ◽  
Author(s):  
Savvas Andronikou ◽  
Nicky Wieselthaler ◽  
Anthony Graham Fieggen

2019 ◽  
Vol 7 (2) ◽  
pp. e000779 ◽  
Author(s):  
Adam Swallow ◽  
Paul Freeman ◽  
Lisa Alves

A seven-month-old, male neutered British blue cat presented for investigation of lifelong urinary incontinence. Clinical examination documented a flaccid tail which was deep pain-negative, and the urinary bladder was easily expressed. Voluntary urination was possible. An abnormal hair whorl was noted over the tail base. Pelvic radiography noted absent dorsal lamina to the caudal sacral and proximal caudal vertebrae. The cranial S1/S2 vertebrae were incompletely fused. Haematology, biochemistry and urinalysis were unremarkable. Ultrasonographic examination of the urinary tract was unremarkable, as was an intravenous urogram. MRI documented a large, fluid-filled cavity at the level of the conus medullaris compatible with dilatation of the ventricle terminalis or syrinx. Spina bifida cystica was also present at Cd5/Cd6. The incontinence was noted to improve with time and skeletal maturity before acutely exacerbating. The owners subsequently elected for tail amputation, resulting in a marked improvement in urinary incontinence.


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