Shunt infections developed in 180 (22.67%) of 794 patients with
myelomeningocele, in 9 (5.45%) of 165 patients with congenital obstructive HCP (without
myelomeningocele), in 9 (14.51%) of 62 patients with intraventricular haemorrhage; however, recurrent shunt infection occurred in 54 (27.27%) of 198 patients with a previous shunt infection (Table-1).
Kropp, "Preservation of renal function in children with
myelomeningocele managed with basic newborn evaluation and close followup," The Journal of Urology, vol.
Activity level, functional health, and quality of life of children with
myelomeningocele as perceived by parents.
Myelomeningocele is a sacculation of the meninx and spinal cord through a vertebral defect that develops because of a closure defect of the posterior neuropore, which is the latest phase of neurulation in the third and fourth weeks of gestation.
"Since our fetal cell treatment is minimally invasive, it has the potential to become a much-needed novel treatment for
myelomeningocele."
There were 3 more cases, each afflicted from partial agenesis of corpus callosum, granuloma and associated
myelomeningocele respectively.
I have the worst form, called
myelomeningocele. I wasn't supposed to walk, but I have never even used a wheelchair (besides for long shopping trips and amusement park visits).
Composite scores were computed using the following coding scheme:
myelomeningocele type (1 = no, 2 = yes), shunt status (1 = no, 2 = yes), ambulation status (1 = no assistance/ankle-foot orthoses, 2 = knee-ankle-foot orthoses/hip-knee-ankle-foot orthoses, 3 = wheelchair assistance), voiding status (1 = spontaneous voiding, 2 = CIC/wearing a pad), and defecation status (1 = spontaneous defecation, 2 = enema/ laxatives/wearing a pad/antegrade continent enema).
Although the classic example is the child with a
myelomeningocele, a significant number of our patients have other spinal cord defects, including lipomyelomeningocele, fatty filum, and occult tethered cords.
Calculation of the ETVSS * Score Age Etiology 0 <1 mo Postinfectious 10 1 mo to <6 mos 20
Myelomeningocele, IVH, nontectal brain tumor 30 6 mos to <1 yr Aqueductal stenosis, tectal tumor, other 40 1 yr to < 10 yrs 50 [greater than or equal to]10 yrs Calculation of the ETVSS * Score Previous Shunt 0 Previous shunt 10 No previous shunt 20 30 40 50 * The ETVSS is calculated as age score + etiology score + previous shunt score.