Two Cases of Spina Bifida

概要

論文の詳細を見る
It is said that the causative factor of spina bifida is due to the disturbance of growth of the neural tube. Spina bifida is classified to two types, one is spina bifida occulta which is due to abscence of laminae and pedicles without sac-formation, the other is spina bifida cystica which is reserved for conditions in which a sac of dura mater and arachnoid protrudes through a cleft in the vertebrae. Now we experienced two cases of spina bifida occulta associated with epidermal cyst which is relatively rare as the tumor of the spinal region.Case 1. Male aged 4 years. Chief complaints are tumor formation at the lumbosacral region and deformity of bilateral feet. At the age of 3 years, the patient visited our clinic and was diagnosed spina bifida cystica with congenital club foot. After treatment of congenital club foot, plastic operation of spina bifida was performed. Fatty tumorous mass coming from subdural region was found and sac containing liquor or nerve root was not proved.The conditions after operation were not improved.Case 2. Female aged 30 years. Chief complaints are movement disturbance of right leg with hypaesthesia or anaesthesia of bitlateral lower legs.Disturbance of urinary bladder and rectum is not recognized. X-ray photo showed the defect of laminae at sacrum.At plastic operation, tumorous mass was found at the lumbar region and was resected but nothing resembling meningocele or sac containing liquor or nerve root were found.The conditions afer operation are improved especially in gait and sensory disturbance in left lower leg.
西日本整形・災害外科学会の論文

Two Cases of Spina Bifida

スポンサーリンク

概要

著者

関連論文

スポンサーリンク