Vinoth Kumar Perumal, Krishnaprasanth Baalann
Received: 28 Sep 2020 - Accepted: 08 Oct 2020 - Published: 13 Oct 2020
Domain: Obstetrics and gynecology,Public health,Neurosurgery
Keywords: Neural tube defect, folate deficiency, antenatal visits
©Vinoth Kumar Perumal et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Vinoth Kumar Perumal et al. Spinal dysraphism. Pan African Medical Journal. 2020;37:146. [doi: 10.11604/pamj.2020.37.146.26288]
Available online at: https://www.panafrican-med-journal.com/content/article/37/146/full
Vinoth Kumar Perumal1,&, Krishnaprasanth Baalann1
Defects of the spinal cord results from abnormal closure of the neural folds in the earlier weeks of development. If closure fails anywhere from the cervical region to caudal region it is called as spina bifida, most commonly involving the lumbosacral region. Meningocele is the simplest form of neural tube defect characterised by cystic dilation of meninges containing cerebrospinal fluid without any neural tissue. In India, it affects about 1.9 per 1000 births. Not having enough folate (vitamin B9) in the diet plays a significant role besides genetic factor, obesity, poorly controlled diabetes and anti-seizure medications. Standard treatment is surgery after birth. We present a case of a newborn female baby, term normal vaginal delivery, with normal birth weight, with a mass protruding from lower back region. Baby´s mother gave antenatal history of failing to take folate (vitamin B9) and irregular visits to the hospital. On examination, a small, moist, spherical sac measuring roughly 4 x 4 cm, protruded through the gap in the spine. This sac contained a portion of the spinal cord membrane (meninges) and some spinal fluid. Baby was examined thoroughly for any other abnormalities. Baby was planned for meningocele repair on the same day as there were no other complications. Post-natal advice and counselling to protect child´s skin, preventing sores, special diet to prevent obesity, was given to the mother and discharged the next day. Child was referred to a neurologist and urologist for further management and prevent any complications that may arise.
Figure 1: meningocele