Open AccessA case of double meningomyelocoele with hydrocephalous in a four months′ infant
Author(s) -
Anuja Arvind Goyal,
Vangapuram Raghavachari Rangachari,
Chhaya Suryavanshi
Publication year - 2013
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.108665
Subject(s) - medicine , meninges , weakness , lumbosacral joint , neural tube , hydrocephalus , surgery , post partum , intubation , pediatrics , pregnancy , embryo , genetics , pathology , biology , microbiology and biotechnology
Meningomyelocoele is a developmental congenital disorder caused by failure of the neural tube to close during the first month of embryonic development thus presenting with herniation of neural elements along with meninges. Myelomeningocoeles most commonly occur in the lumbosacral region, but can also occur at any level in the neuraxis, including occipital/suboccipital areas or nasally (encephalocoele).We report a rare case of double meningomyelocoele in a 4-month-old infant (cervical as well as thoracic meningocele) with weakness in the left lower limb (power grade 0) posted for resection with difficult intubation because of obstructive hydrocephalus, fear of rupture of neuroplaque, positioning and care of blood loss and temperature. The infant was discharged within 15 days, and his hospital stay was uneventful