Main description:

The aim of this book to promote a multidisciplinary approach to Spina Bifida, providing the three main specialists categories involved - neurosurgeon, orthopedic surgeons, and urologists - with a concise reference that explains the main clinical problems to be faced in everyday clinical practice. The book also provides the busy specialist with an updated overview of surgical approaches.

Contents:

Introduction.- GENERAL CONSIDERATIONS: 1 A Historical Review of the Surgical Treatment of Spina Bifida.- 2 Embryology Applied to Neural Tube Defects (NTDs).- 3 Pathological Anatomy of Spina Bifida.- 4 Epidemiology and Aetiological.- 5 Myelomeningocele and Medical Ethics.- ANTENATAL DIAGNOSIS AND TREATMENT: 6 Diagnosis of Spina Bifida and Other Dysraphic States in the Fetus.- 7 The Role of Fetal Neurosurgery in Spina Bifida.- INITIAL MANAGEMENT: 8 Preoperative Care of the Newborn with Myelomeningocele.- 9 Radiological Evaluation of Myelomeningocele - Chiari II Malformation.- 10 Myelomeningocele Primary Repair Surgical Technique.- 11 Anesthesiology of the Newborn with Spina Bifida .- 12 Postoperative Care of the Newborn with Myelomeningocele.- 13 Early Surgical Complications of Spina Bifida.- 14 Vertebral Anomalies and Spinal Malformations in Myelomeningocele.- 15 Plastic Surgery Aspects of Large Open Myelomeningoceles.- 16 Pathophysiology of Hydrocephalus.- 17 Hydrocephalus in Myelomeningocele: Shunts and Problems with Shunts.- 18 The Treatment of Hydrocephalus in Spina Bifida - Endoscopy.- SECONDARY MANAGEMENT NEUROLOGY AND NEUROSURGERY: 19 Chiari II Malformation and Syringomyelia 20 Challenging Problems of Shunt Management.- in Spina Bifida 21 Supratentorial Cerebral Malformations in Spina Bifida.- 22 Tethered Cord in Children with Spina Bifida.- 23 Pathophysiology and Clinical Features of Tethered Cord Syndrome.- 24 Spasticity in Spina Bifida.- 25 Seizures in Children with Myelomeningocele.- ORTHOPEDIC PROBLEMS: 26 Management of Vertebral Problems and Deformities.- 27 Spina Bifida: the Management of Extremity Deformities in Myelomeningocele.- 28 Habilitation of Children and Young Adults with Spina Bifida.- 29 Independence in Mobility.- UROLOGY: 30 Neuro-Urological Management of the Neuropathic Bladder in Children with Myelodysplasia.- PSYCHOSOCIAL ASPECTS: 31 Sexuality, Sex, Pregnancy, and Spina Bifida.- 32 Intellectual Outcomes in Spina Bifida.- 33 AFamily Centered Evaluation of Psychosocial Agendas in Spina Bifida.- 34 Endocrine Aspects of Neural Tube Defects.- OCCULT SPINAL DYSRAPHYSM: 35 Anterior and Lateral Meningoceles.- 36 Spinal Lipomas.- 37 Neurenteric Cysts.- 38 Diastematomyelia.- 39 Spinal Dermal Sinuses.- Subject Index