Contemporary management and outcome of myelomeningocele: the Rotterdam experience.
CONCLUSIONS: This study provides an overview of current MMC outcomes at the authors' center and will serve as a historical cohort for comparison with future fetal surgery cases operated on at the center in the coming years. Apart from a relatively low surgical untethering rate, the authors' outcome data are comparable to those in the literature. Hydrocephalus is highly prevalent in postnatally treated MMC patients; in this study as in much of the literature, hydrocephalus is correlated with a low cognitive function. Fetal surgery for MMC halves the need for shunt treatment in a select group of MMC pregnancies, constituting a major indication for us to undergo the transition to a fetal surgery center. The fetal benefits of open antenatal surgery for MMC are well established, yet long-term data on especially tethered spinal cord are eagerly awaited.
PMID: 31574477 [PubMed - in process]
Source: Neurosurgical Focus - Category: Neurosurgery Authors: Spoor JKH, Gadjradj PS, Eggink AJ, DeKoninck PLJ, Lutters B, Scheepe JR, van Meeteren J, de Laat PCJ, van Veelen ML, de Jong THR Tags: Neurosurg Focus Source Type: research
More News: Brain | Education | History of Medicine | Hydrocephalus | Incontinence | Neurology | Neurosurgery | Shunt for Hydrocephalus | Spina Bifida | Study | Universities & Medical Training