新生儿脊柱裂1例报告

Kamuran SUMAN, Murat SUMAN, Serhat KORKMAZ
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摘要

在北美,中枢神经系统异常导致超过7万例残疾,其中大多数是由神经管缺陷造成的,其中最常见的是脑膜脊髓膨出。脊膜脊髓膨出的特征是脊柱结构在皮肤外突出,患者通常会出现下肢运动功能障碍,以及排尿和排便问题。这些临床表现的严重程度取决于沿神经管的缺损位置。脑膜脊髓膨出的根本原因与胎儿发育过程中神经管关闭失败有关。在我们的病例中,脊柱裂的诊断是由围产期诊所在产前做出的,并且在分娩前向家庭提供了有关病情的所有必要信息。尽管如此,这家人还是决定继续生产,并作出了适当的安排来促进这一决定。分娩后,新生儿接受了超声检查,确认存在脊柱裂。
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A newborn Spina Bifida Case Report
In North America, central nervous system anomalies are responsible for over seventy thousand cases of disability, with the majority resulting from neural tube defects, with meningomyelocele being the most frequent. Meningomyelocele is characterized by the protrusion of spinal structures outside the skin, and patients typically experience deficits in motor function of the lower limbs, as well as issues with urinary and fecal elimination. The severity of these clinical manifestations may vary depending on the location of the defect along the neural tube. The underlying cause of meningomyelocele is associated with a failure in the closure of the neural tube during fetal development. In our case, the diagnosis of spina bifida was made prenatally by the perinatology clinic, and the family was provided with all necessary information regarding the condition prior to delivery. Despite this, the family decided to proceed with the birth, and appropriate arrangements were made to facilitate this decision. Following delivery, the newborn underwent an examination that confirmed the presence of spina bifida, as diagnosed by ultrasound.
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