Spina Bifida occurs within the first month of pregnancy resulting in an incomplete closure of the spinal column. Spina bifida is the most frequently occuring permanently disabling neural tube defect involving the brain and spinal cord. This particular birth defect affects approximately one out of every 1,000 newborns in the United States. Most babies born with the birth defect are born to parents with no family history of the birth defect.
What causes Spina Bifida?
The cause of this defect is not known with certainty, however, scientists believe that genetic factors play a predominant role, but that nutritional and environmental factors may also contribute to the development of spina bifida.
Are there different types of Spina Bifida?
Yes, there are three forms.
Occulta
- Sometimes called "Hidden Spina Bifida". The
spinal cord and the nerves are usually normal and there
is no opening on the back. In this usually harmless form
of spina bifida, there is a small gap in a few of the
vertebrae that make up the spine. The underlying neural
tube defect is covered completely with skin. Although
there may be no motor or sensory impairments evident at
birth, subtle, progressive neurologic deterioration often
becomes evident in later childhood and adulthood.
Frequently, there are telltale signs on close examination
of the back. In many cases, spina bifida occulta is so
mild that there is no disturbance of spinal function at
all. This form occurs in 3-5 percent of the population
and people often don't even know they have it.
Meningocele - The meninges (protective covering of the
spinal cord) come through the open part of the spine like
a sac that is pushed out. Cerebrospinal fluid is in the
sac and there is usually no nerve damage. Individuals
with this form suffer minor disabilities; however new
problems can develop later in life.
Myelomeningocele - This occurs when the meninges and
spinal nerves come through the open part of the spine.
This is the most serious type of spina bifida, which
causes nerve damage and more severe disabilities.
Hydrocephalus (water on the brain), often occurs in 70-90
percent of children with myelomeningocele. This happens
when the cerebrospinal fluid, which cushions and protects
the brain and spinal cord, is unable to drain normally
because of the birth defect. Fluid collects in and around
the brain, causing the head to become enlarged.
Implanting a shunt into the ventricals of the brain, with
tubing leading into the abdominal cavity, will allow the
fluid to drain from the brain.
For
more information please visit
The Spina Bifida Association of
America

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