TY - JOUR
T1 - Myelomeningocele
T2 - Current concepts of management
AU - Noetzel, M. J.
PY - 1989
Y1 - 1989
N2 - Care of an infant with myelomeningocele may begin with prenatal diagnosis, which allows for optimal perinatal care. In the newborn period, the decision for surgical treatment of myelomeningocele must be made promptly, but only after rational discussion with, and consent by, the affected child's family. Advances in newborn care and in surgical techniques, and an improved ability to both detect and treat hydrocephalus and CSF infections, have resulted in better outcomes for these children. Recent insights into the pathogenesis of myelomeningocele suggest that prevention of most of these congenital malformations may be possible through periconceptual vitamin supplementation.
AB - Care of an infant with myelomeningocele may begin with prenatal diagnosis, which allows for optimal perinatal care. In the newborn period, the decision for surgical treatment of myelomeningocele must be made promptly, but only after rational discussion with, and consent by, the affected child's family. Advances in newborn care and in surgical techniques, and an improved ability to both detect and treat hydrocephalus and CSF infections, have resulted in better outcomes for these children. Recent insights into the pathogenesis of myelomeningocele suggest that prevention of most of these congenital malformations may be possible through periconceptual vitamin supplementation.
UR - http://www.scopus.com/inward/record.url?scp=0024373515&partnerID=8YFLogxK
U2 - 10.1016/s0095-5108(18)30634-1
DO - 10.1016/s0095-5108(18)30634-1
M3 - Review article
C2 - 2663304
AN - SCOPUS:0024373515
SN - 0095-5108
VL - 16
SP - 311
EP - 329
JO - Clinics in Perinatology
JF - Clinics in Perinatology
IS - 2
ER -