Duarte Flávia F, Dias Natália M
Anesthesiology, Hospital Garcia de Orta, Almada, PRT.
Cureus. 2024 Aug 1;16(8):e65940. doi: 10.7759/cureus.65940. eCollection 2024 Aug.
Myelomeningocele (MMC) is an in-utero closure defect of the posterior portion of the neural tube, and it is the most common neural tube defect (NTD) compatible with life. It is usually associated with other congenital malformations, such as hydrocephalus and Chiari type 2 syndrome. Therefore, the long-term outcome depends on early repair, and the surgery is urgently scheduled. Newborns with MMC are a special population that requires meticulous preoperative preparation to maintain hemodynamic stability during the procedure and a favorable outcome. In this case report, we describe the challenges of unruptured myelomeningocele closure surgery in a newborn with 12 hours of life. This special case emphasizes the importance of a multidisciplinary approach between anesthesiologists, neurosurgeons, and plastic surgeons to provide the best care to this subset of patients.
脊髓脊膜膨出（MMC）是神经管后部在子宫内的闭合缺陷，是最常见的与生命相容的神经管缺陷（NTD）。它通常与其他先天性畸形相关，如脑积水和Chiari 2型综合征。因此，长期预后取决于早期修复，手术需紧急安排。患有MMC的新生儿是一个特殊群体，需要精心的术前准备以在手术过程中维持血流动力学稳定并获得良好预后。在本病例报告中，我们描述了一名出生12小时的新生儿未破裂脊髓脊膜膨出闭合手术的挑战。这个特殊病例强调了麻醉医生、神经外科医生和整形外科医生之间多学科方法对于为这一亚组患者提供最佳护理的重要性。
