Spina Bifida

ISBN-13: 9784431702603 / Angielski / Miękka / 2000 / 556 str.

Satoshi Matsumoto; Satoshi Matsumoto; Hiromi Sato

Opis

Myelodysplasia and associated malformations of the central nervous system generally are managed by neurosurgeons, while disturbance of locomotion, deformity of the skeletal system, neurogenic bladder, and bowel malfunctions of patients with spina bifida are treated by orthopedists, urologists, pediatric neurologists, physical therapists, and other specialists. Manifestation of these disorders is not limited by age distribution, but the therapeutical implications of the malfunctions may vary by age group from infancy to adulthood. The Second International Symposium on Spina Bifida, one in a series of three, focused on treatment of patients from elementary school age to adolescence. Papers presented in the areas of neurosurgery, orthopedics, urology, pediatric neurology, and nursing provided a comprehensive view of current trends in the care, management, and treatment of spina bifida.

Spis treści

Neurosurgery.- Syringomyelia.- Plenary Sessions.- Pathophysiology and Surgical Treatment of Syringomyelia Associated with Spinal Dysraphism.- Chiari Malformation and Syringomyelia.- Moderator’s Comments.- Parallel Sessions.- Syringomyelia with MMC: Management with Reference to its Progression.- Treatment of Hydro/Syringomyelia Associated with Spina Bifida.- Pathogenesis of Syringomyelia.- Treatment of Syringomyelia.- Lipoma, Tethered Spinal Cord.- Plenary Sessions.- Anatomy of the Spinal Cord with Meningomyelocele and Tethered Cord Symptoms.- The Tethered Spinal Cord.- Spina Bifida Occulta with Tethered Spinal Cord.- Parallel Sessions.- Spinal Dysraphism—A Study of 119 Patients at AIIMS.- Operative Treatment of Adult Spinal Cord Lipoma—Report of Six Cases.- Currarino Syndrome and Related Conditions.- Congenital Spinal Hernia on First Thoracic Vertebral Level.- Surgical Treatment of Lipomyelomeningocele for Prevention of Postoperative Retethering.- Untethering Accompanied with Dural Plasty Using Gore-Tex Membrane.- Neurosurgical Treatment of Spasticity in Spina Bifida—Role of Rhizotomy and Its Limitations: Review.- Analysis of Patients with Spinal Lipoma Reoperated on for Retethering.- Moderator’s Comments.- Moderator’s Comments.- Rightfulness of the Life-Saving Operation for Neural Tube Disorders: Long-Term Follow-Up Evaluation of Quality of Life.- Preoperative Symptomatic Progression of Lumbosacral Lipoma Operated on After Age One.- Management of Spinal Lipoma in Children—Comparison of Neurological Status Between Surgical and Nonsurgical Cases.- Treatment of Tethered Spinal Cord.- Surgical Treatment for Delayed Tethered Cord Syndrome After Repair of Myelomeningocele.- Moderator’s Comments.- Tethered Cord Syndrome in Low Motor Level Children with Myelomeningocele.- Intraspinal Lipoma Associated with Tethered Cord Syndrome in School-Age and Adolescent Patients: Surgical Management and Prognosis.- Importance of Morphological Classification for Surgical Treatment of Lumbosacral Lipoma.- Clinical Analysis of Congenital Dermal Sinus in the Sacrococcygeal Region—Experience of Five Cases.- Hindbrain Anomalies.- Plenary Sessions.- The Cause of the Chiari Malformation.- Nonneoplastic Retrocerebellar Cystic Lesions—with Special References to Dandy-Walker Syndrome (DWS).- Discussion and Moderators’ Comments.- Parallel Sessions.- Studies on Natural Development of Brainstem Function with Asymptomatic Myelomeningocele from School-Age to Adolescence Using Brainstem Auditory Evoked Potentials (BAEPs).- Respiratory Disturbance in Type II Chiari Malformation.- Hydrocephalus.- Plenary Sessions.- Hydrocephalus Associated with Spina Bifida: Specific Pathophysiology and Therapeutic Problems.- Endoscopic Surgery for Obstructive Hydrocephalus.- Chronic Hydrocephalus Associated with Spina Bifida.- Parallel Sessions.- Developmental Outcome in Spinal and Cranial Dysraphism.- Possibility of Ventriculoperitoneal Shunt (VPS) Removal in Hydrocephalic Patients with Meningomyelocele (MMC).- Neuroendoscopic Management of Shunt Complications.- Clinical Significance of the Ventricular Size in Hydrocephalic Children.- Dual-Switch Valve: A New Concept in the Treatment of Hydrocephalus Avoiding Inappropriate Drainage.- Moderator’s Comments.- Slit Ventricle Syndrome in Children: Clinical Presentation and Treatment.- Treatment of Hydrocephalus Associated with Spina Bifida.- Shunt Complications in School-Age and Adolescent Patients with Spina Bifida.- Long-Term Management of Shunt Problems for Spina Bifida in School-Age and Adolescent Patients.- Moderator’s Comments.- Ideal Management.- The “Ideal” Management of Children with Spina Bifida in the Future.- Neurosurgical Perspective in Ideal Treatment and Therapy for Children with Spina Bifida.- Experimental Studies.- Experimental Analysis: The Causes of Neural Tube Defects and Chiari II Type Malformation, and the Important Role of Normal Neurulation in Their Prevention.- The Pathogenesis of Myeloschisis: Experimental Studies.- Functional Roles of Basic Helix-Loop-Helix (bHLH) Transcription Factors in Proliferation and Differentiation of Neural Tube Cells.- Pathogenesis of Cerebellar Deformity in Chiari Type I Malformation Caused by Mumps-Associated Hydrocephalus in Hamsters.- Orthopedics.- Gait Disturbance.- Plenary Sessions.- A Social History of People with Physical Disabilities, Including Spina Bifida.- Moderator’s Comments.- Deformity and Gait.- Moderator’s Comments.- The Application of Gait Analysis to the Treatment of Children with Spina Bifida: A Look Back and as We Move Forward.- Moderator’s Comments.- Parallel Sessions.- Ability in Walking is a Predictor of Bone Mineral Density and Body Composition in Prepubertal Children with Myelomeningocele.- Magnetic Resonance Imaging of Hip Extensor and Knee Flexor Muscles in Patients with Spina Bifida.- Bracing for Ambulation: Basic Principles, Brace Alternatives by Motor Level and Predictive Long-Term Goals.- Comprehensive Rehabilitation of Adults with Spina Bifida.- The Energy Cost of Walking in Children with Spina Bifida.- Moderator’s Comments.- Hip Pathology.- The Management of Hip Pathology in Spina Bifida.- Paralytic Dislocation and Subluxation of the Hip in Myelomeningocele—Comparison of Surgical and Nonsurgical Groups.- Radical Hip Release in Spina Bifida Patients—an Aid to Improving Mobility.- Surgical Correction of Myelomeningocele Hip.- The Hip—Current Treatment.- External Oblique Abdominal Muscle Transfer.- Moderator’s Comments.- Moderator’s Comments.- Spine Pathology.- The Natural History of Scoliosis in Myelomeningocele.- Scoliosis Associated with Syringomyelia.- Experience with Decancellation Kyphectomy for the Correction of Kyphosis in Children with Myelomeningocele.- The Surgical Correction of Myelomeningocele Kyphosis.- Moderators’ Comments.- Foot Pathology.- The Incidence of Foot Deformity in Japanese School-Age Patients with Spina Bifida.- Orthopedic Operative Management in Spina Bifida.- Delayed Neurological Disorders of the Lower Extremities in Patients with Spina Bifida.- Results of Achilles Tenodesis and Posterior Transfer of the Tibialis Anterior Tendon for Residual Calcaneous Deformity of Spina Bifida.- Management of Ankle and Hindfoot Valgus in Spina Bifida.- Evaluation and Treatment of Pes Cavus in Spina Bifida.- The Surgical Treatment for Foot Deformity in Spina Bifida.- Moderator’s Comments.- Urology.- Neurogenic Bladder.- Plenary Sessions.- Cellular Signaling in the Bladder: Implications for Treatment.- Uroneurology: The Mechanism of Neurogenic Bladder Disease.- Indication of Surgical Interventions for Neurogenic Bladder.- Parallel Sessions.- Effects of Clean Intermittent Catheterization on Bladder Deformity in Spina Bifida Patients.- The Outcome of Management Based on Urethral Resistance in Myelodysplastic Children.- A Case Study of Successful Self-Catheterization in an Adolescent with Spina Bifida, Mental Retardation, and Severe Motor Impairment.- Augmentation Cystoplasty in Children with Spina Bifida.- Vesicoureteric Reflux and Urinary Incontinence in Myelodysplastic Patients: A Comparison Between Those who Underwent Antireflux Surgery Alone and Those who were Treated by Antireflux Surgery and Bladder Augmentation, With or Without Sling Operation.- Sensory Skin-Fascial Flap Application to Nonsensitive Perianal Region in Patients with Sacral Myelomeningocele: Report of Two Cases.- Surgical Management of the Neurogenic Bladder.- Electromyographic and Manometric Anorectal Evaluation in Children Affected by Meningomyelocele.- Nitrofurantoin Prophylaxis for Bacteriuria and Urinary Tract Infection in Children with Neurogenic Bladder on Intermittent Catheterization.- Spina Bifida and the Urinary Excretion of Glycosaminoglycans.- Management of Bowel Problems in the Patient with Spina Bifida.- Pediatric Neurology.- Seventeen-Year Experience with Children with Meningomyelocele Born by Cesarean Section Prior to Rupture of Amniotic Membranes.- Long-Term Prognosis of the Mental Activities of Hydrocephalus Associated with Spina Bifida.- Outcome of Spina Bifida and Present Attitude Towards Prenatal Diagnosis in Europe.- A Study of Physical Development in Patients with Myelomeningocele.- Obesity and Overweight in a Group of Patients with Myelomeningocele.- Moderator’s Comments.- Nursing.- Nursing Care of Mothers with a Newborn with Spina Bifida Child.- Continuing Care of Children with Spina Bifida at an Outpatient Clinic.- Nursing Care for School-Aged Children with Spina Bifida in an Institution.- Nursing Care of Children with Spina Bifida in the United States.- Children with Spina Bifida I Met in the School for Physically Handicapped Children: 1978-Today.- Moderator’s Comments.- Spina Bifida: An International Perspective.- Children with Meningomyelocele in Hokkaido, Japan: From a Passive to an Active Approach.- MTHFR 677C-T and Neural Tube Defects: An Evaluation in a Population from Southern Italy.- The Situation of People with Hydrocephalus and Spina Bifida in Developing Countries.- Treatment and Care of Spina Bifida in Taiwan.- Management of Spina Bifida in India.- Differences in Patient Populations Cared for in Various Areas of the World.- Ethics, Social Welfare, and Psychosocial Adjustment.- Ethical Considerations in Care, Treatment, and Management.- Developmental Factors, Health, and Psychosocial Adjustment of Children and Youths with Spina Bifida.- Social Welfare for Children with Spina Bifida.- Contributors Index.