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Postnatal management and outcome for neural tube defects including spina bifida and encephalocoeles
Author(s) -
Thompson Dominic N. P.
Publication year - 2009
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.2199
Subject(s) - encephalocele , spina bifida , neural tube , medicine , incidence (geometry) , pediatrics , outcome (game theory) , anencephaly , life expectancy , population , surgery , biology , embryo , physics , mathematics , mathematical economics , environmental health , optics , microbiology and biotechnology
The incidence of neural tube defects (NTDs) has declined in recent decades, however myelomeningocele and encephalocele still represent one of the commoner prenatally diagnosed congenital malformations. Improved perinatal and post natal care mean that the mortality associated with these conditions has also fallen. Advances in the multidisciplinary management of children with myelomeningocele have led to significant improvements in functional outcome for many with this condition. However, there remains a substantial population of patients born with NTDs whose life expectancy is substantially reduced and who suffer significant cognitive and physical disability remaining wholly or partially dependant on the care of others into adult life. This article aims to outline the contemporary early management of these conditions and examine the prospects for functional outcome where possible, attempting to show how early anatomical features of these conditions can help predict where, along the wide spectrum of outcome, a given individual may lie. Copyright © 2009 John Wiley & Sons, Ltd.