Suleman Mujaheed, Rabiel Happiness, Vaughan Kerry, Shadrack Mathayo, Ndibalema Goodluck, Lodhia Raghav, Lodhia Jay
Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi PO Box 3010, Tanzania.
Department of Neurosurgery, Kilimanjaro Christian Medical Centre, Moshi PO Box 3310, Tanzania.
Case Rep Surg. 2025 Jan 9;2025:5662565. doi: 10.1155/cris/5662565. eCollection 2025.
Meningomyelocele and meningocele are types of neural tube defects, which are congenital abnormalities of the spine and spinal cord. These conditions are frequently encountered by pediatric neurosurgeons worldwide and represent a significant public health concern due to their association with a range of collateral conditions, other malformations, and increased morbidity. While many cases can be identified during prenatal ultrasound screenings, this is often challenging in resource-limited settings with poor health-seeking behaviors. Surgical intervention is the primary treatment for these defects, and while various methods are described in the literature, larger defects require complex flaps and techniques, with limited options available. Beyond early surgical intervention, patients require lifelong care involving multidisciplinary medical teams.
脊髓脊膜膨出和脊膜膨出是神经管缺陷的类型,是脊柱和脊髓的先天性异常。全球的儿科神经外科医生经常遇到这些情况,由于它们与一系列附带病症、其他畸形以及发病率增加有关,因此是一个重大的公共卫生问题。虽然许多病例可以在产前超声筛查中被识别出来,但在医疗寻求行为不佳的资源有限环境中,这往往具有挑战性。手术干预是这些缺陷的主要治疗方法,虽然文献中描述了各种方法,但较大的缺陷需要复杂的皮瓣和技术,可用的选择有限。除了早期手术干预外,患者还需要多学科医疗团队的终身护理。