A Multimodal Treatment Approach on Rare Case of Meningomyelocele
Anupam Sood
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, Maharashtra, India.
Ashish Varma
Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, Maharashtra, India.
Sakshi P. Arora *
Department of Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, Maharashtra, India.
Anuj Varma
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, Maharashtra, India.
Keta Vagha
Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, Maharashtra, India.
Jayant Vagha
Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, Maharashtra, India.
Sachin Damke
Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi(M), Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Meningomyelocele, one of the neural tube defect (NTD) variants, is a condition in which meninges and neural tissue protrudes through a defect in vertebral arch and forms a cyst-like sac with an incidence of 0.5–11/1000 live births. Hydrocephalus is a major problem for majority of patients with meningomyelocele due to the abnormal accumulation of cerebrospinal fluid (CSF) in the ventricles of the brain. Meticulous preoperative evaluation with planning of the anesthetic technique, especially in regard to managing the airway, plays a crucial role in successful surgical management of these cases. Here, we report a case of lumbosacral meningomyelocele with hydrocephalus underwent a multimodal treatment approach for providing a comprehensive plan of care.
Keywords: Meningomylocele, neural tube, hydrocephalus, physiotherapy, surgical management