Treatments for Neural tube defect
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Neural tube defects:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Prompt neurosurgical repair and aggressive management may improve the condition of children with some NTDs, but serious and permanent disability is likely.
Spina bifida occulta usually requires no treatment. Treatment of meningocele consists of surgical closure of the protruding sac and continual assessment of growth and development. Treatment of myelomeningocele requires repair of the sac and supportive measures to promote independence and prevent further complications. Surgery doesn't reverse neurologic deficits. A shunt may be needed to relieve associated hydrocephalus.
Treatment of encephalocele includes surgery during infancy to place protruding tissues back in the skull, excise the sac, and correct associated craniofacial abnormalities.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Spinal cord defects:
Treatment
(Handbook of Diseases)
Spina bifida occulta usually requires no treatment. Treatment of meningocele consists of surgical closure of the protruding sac and continual assessment of growth and development.
Treatment of myelomeningocele requires repair of the sac and supportive measures to promote independence and prevent further complications. Surgery doesn’t reverse neurologic deficits. A shunt may be needed to relieve associated hydrocephalus.
If the patient has a severe spinal defect, short- and long-term treatment will require a team approach, including a neurosurgeon, orthopedist, urologist, nurse, social worker, occupational and physical therapists, and parents.
Rehabilitation
In children or adults, rehabilitation measures may include:
❑ waist supports, long leg braces, walkers, crutches, and other ortho-pedic appliances
❑ diet and bowel training to manage fecal incontinence
❑ neurogenic bladder management to reduce urinary stasis, possibly intermittent catheterization, and antispasmodics, such as bethanechol or propantheline. In severe cases, insertion of an artificial urinary sphincter is often sucsuccessful; a urinary diversion is used as a last resort to preserve kidney function.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Neural tube defects:
Treatment
(Handbook of Diseases)
Prompt neurosurgical repair and aggressive management may improve the condition of children with some NTDs, but serious and permanent disabilities are likely.
Spina bifida occulta usually requires no treatment. Treatment of meningocele consists of surgical closure of the protruding sac and continual assessment of growth and development. Treatment of myelomeningocele requires repair of the sac and supportive measures to promote independence and prevent further complications. Surgery doesn’t reverse neurologic deficits. A shunt may be needed to relieve associated hydrocephalus.
Treatment of encephalocele includes surgery during infancy to place protruding tissues back in the skull, excise the sac, and correct associated craniofacial abnormalities.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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