Myelomeningocele Management and Complications Quiz

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Questions and Answers

What is the prevalence of Meningomyelocele (MM)?

90%

50%

10%

It varies among races and regions (correct)

When should folic acid supplements be taken to reduce the risk of Meningomyelocele (MM)?

Begin during the second trimester

Begin during the first trimester

Begin 3 months before conception (correct)

Begin during the third trimester

Which type of Myelodysplasia may or may not be skin covered and will cause paralysis?

Occulta

Meningocele

Myeloschisis

Meningomyelocele (MM) (correct)

At what gestational age is Meningomyelocele (MM) typically diagnosed?

18 weeks Signup and view all the answers

What is the recommended treatment for neurogenic bladder?

Clean intermittent catheterization on a regular schedule Signup and view all the answers

What is a potential consequence of S2 to S4 not functioning?

All of the above Signup and view all the answers

What is a key focus of physical therapy treatment?

Passive ROM exercises Signup and view all the answers

What is a potential indicator of successful bowel program?

Presence of a cutaneous reflex Signup and view all the answers

What assessment should be conducted for skin breakdown and obesity?

All of the above Signup and view all the answers

When is surgical fusion recommended for spinal deformities?

After the age of 10 yo Signup and view all the answers

What is the goal of orthotic intervention using bivalve Silastic TLSO?

Maintain a balanced trunk and pelvis Signup and view all the answers

How often should standing programs be conducted to improve bone mineral density?

5 days per week for 60-90 min/day Signup and view all the answers

What is the purpose of in-utero repair of myelomeningocele (MM) during pregnancy?

Reduces the need for shunting and increases the likelihood of walking without devices Signup and view all the answers

What do high level lesions (Thoracic to L2) of MM typically present with?

Hip and knee contractures, scoliosis, and require assistive devices for ambulation Signup and view all the answers

What is the purpose of the newest classification for children with MM?

Includes specific functional abilities and ambulation requirements Signup and view all the answers

What is a common co-morbidity in children with MM, often requiring ventriculoperitoneal shunting?

Hydrocephalus Signup and view all the answers

What does the motor level indicate in children with MM?

The lowest intact, functional neuromuscular segment Signup and view all the answers

What is a common deformity in children with MM that can lead to hydrocephalus?

Chiari II malformation Signup and view all the answers

What is a possible complication associated with MM that may involve posterior fossa decompression?

Chiari II malformation Signup and view all the answers

What is a common musculoskeletal deformity experienced by children with MM?

Scoliosis Signup and view all the answers

What do children with sacral lesions of MM may experience in terms of ambulation?

May walk without orthoses or upper limb support, but may experience mild to moderate gait abnormalities Signup and view all the answers

What do sensory deficits in children with MM often not correlate with?

Motor level Signup and view all the answers

What is an additional complication associated with MM?

Latex allergy Signup and view all the answers

What is a common requirement for surgical management of Chiari II malformation?

Posterior fossa decompression and cervical spinal laminectomy Signup and view all the answers

Study Notes

Management and Complications of Myelomeningocele (Spina Bifida)

In-utero repair of myelomeningocele (MM) during pregnancy reduces the need for shunting and increases the likelihood of walking without devices.
Children with MM often experience musculoskeletal deformities such as scoliosis, kyphosis, and hip dysplasia.
Motor level indicates the lowest intact, functional neuromuscular segment and is used to classify the severity of MM.
High level lesions (Thoracic to L2) typically present with hip and knee contractures, scoliosis, and require assistive devices for ambulation.
The newest classification for children with MM includes parapodium and mid to low lumbar lesions, each with specific functional abilities and ambulation requirements.
Children with sacral lesions may walk without orthoses or upper limb support, but may experience mild to moderate gait abnormalities.
Sensory deficits in children with MM often do not correlate with motor level and may skip levels, necessitating comprehensive testing.
Hydrocephalus is a common co-morbidity in children with MM, often requiring ventriculoperitoneal shunting to manage fluid accumulation in the brain.
Chiari II malformation, a deformity of the cerebellum and spinal cord, is common in children with MM and can lead to hydrocephalus.
Cognitive and language dysfunction, latex allergy, upper limb dyscoordination, spasticity, and seizures are additional complications associated with MM.
Surgical management for Chiari II malformation may involve posterior fossa decompression and cervical spinal laminectomy to relieve pressure on the brainstem.
Children with MM may experience a range of complications, including cognitive dysfunction, language dysfunction, latex allergy, and upper limb dyscoordination, among others.

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Description

Test your knowledge of the management and complications of myelomeningocele (spina bifida) with this quiz. Explore topics such as in-utero repair, musculoskeletal deformities, motor level classification, hydrocephalus, Chiari II malformation, and other associated complications.