Spina bifida

Spina bifida describes birth defects caused by an incomplete closure of one or more vertebral arches of the spine, resulting in malformations of the spinal cord. The spinal membranes and spinal cord may protrude through the absence of vertebral arches (called a cleft). These malformations fall into three categories: spina bifida occulta, spina bifida cystica (myelomeningocele) and meningocele.

Types of spina bifida

Spina bifida occulta

This is a mild form of spina bifida. There is no opening on the back, but the outer part of some of the vertebrae are not completely closed. The split in the vertebrae is so small that the spinal cord does not protrude. The skin at the site of the lesion may be normal, or it may have some hairs growing from it; there may be a dimple in the skin, or a birthmark. People with this form may have incontinence, slight ambulatory problems, and slight loss of sensation.

Related Topics:
Vertebrae - Skin - Hair - Birthmark - Incontinence

~ ~ ~ ~ ~ ~ ~ ~ ~ ~

Spina bifida cystica (myelomeningocele)

In this, the most serious form, the meningeal membranes that cover the spinal cord and part of the spinal cord protrude through a cleft, forming a sac or cyst, and are clearly visible. The opening is surgically repaired, shortly after birth. The sac or cyst not only contains tissue and cerebrospinal fluid but also nerves and part of the spinal cord. The spinal cord is damaged or not properly developed. As a result, there is always some degree of paralysis and loss of sensation below the damaged vertebrae. The amount of disability depends very much on where the spina bifida is and the amount of nerve damage involved. Many children and adults with this condition experience problems with bowel and bladder control. In approximately 90% of the people with myelomeningocele, hydrocephalus, extra fluid in the ventricles of the brain, will also occur.

Related Topics:
Cyst - Surgically - Birth - Tissue - Cerebrospinal fluid - Paralysis - Nerve - Hydrocephalus - Ventricles

~ ~ ~ ~ ~ ~ ~ ~ ~ ~

Meningocele

In this, the least common form, the outer part of some of the vertebrae are split and the meninges are damaged and pushed out through the opening, appearing as a sac or cyst, which contains both the meninges and cerebrospinal fluid. The nerves are not usually badly damaged and are able to function, therefore there is often little disability present. There are usually no long-term problems, although problems can arise.

Related Topics:
Meninges - Cerebrospinal fluid

~ ~ ~ ~ ~ ~ ~ ~ ~ ~