Niyogi Saikat, Mitra Pradipta, Chakraborty Jayanta, Santra Sankari, Mitra Tapobroto, Nandy Sabyasachi, Acharya Amita
J Indian Med Assoc. 2014 Jan;112(1):46-8.
A meningomyelocele is herniation of meninges along with neural elements through a congenital defect in the cranium or vertebral column. Reported incidence of occipital meningomyelocele is 1 in 5000 live births. Children with meningomyelocele may have varying degrees of sensory and motor deficits and other important associated congenital defects with clinical features of brain stem compression. The major anaesthetic challenges associated with myelomeningocoele repair includes difficulty in securing airway, intra-operative prone positioning, accurate assessment of blood loss and prevention of hypothermia.
脊髓脊膜膨出是指脑膜连同神经组织通过颅骨或脊柱的先天性缺损向外突出。据报道，枕部脊髓脊膜膨出的发病率为每5000例活产中有1例。患有脊髓脊膜膨出的儿童可能有不同程度的感觉和运动功能障碍，以及其他重要的相关先天性缺陷，并伴有脑干受压的临床特征。与脊髓脊膜膨出修复相关的主要麻醉挑战包括确保气道通畅困难、术中俯卧位、准确评估失血量以及预防体温过低。
