[Fetal myelomeningocele and the potential in-utero repair: follow-up of 58 fetuses]. / Evolução de 58 fetos com meningomielocele e o potencial de reparo intra-útero.
Arq Neuropsiquiatr
; 62(2B): 487-91, 2004 Jun.
Article
em Pt
| MEDLINE
| ID: mdl-15273849
INTRODUCTION: Prenatal diagnosis of myelomeningocele (MM) allows planning its management and, recently, a possible in utero repair. OBJECTIVE: To describe the perinatal outcome of fetuses with MM, in a Fetal Medicine Unit, identifying possible candidates for the in utero surgical repair. METHOD: Retrospective and descriptive study of 58 cases of prenatally diagnosed MM, at CAISM-UNICAMP, from January 1997 to December 2001, identifying possible fetal candidates for in utero repair. RESULTS: the diagnosis mean gestational age was 29 weeks (17-39); level of lesions was above sacral region in 85%, association with hydrocephaly in 86%. Surgical complications were present in 39% of the neonates. During follow-up, 98% presented neurogenic bladder and 60% neurological/mental handicap. Twenty eight fetuses (42%) could have indication of in utero repair. CONCLUSION: MM is associated with severe and frequent poor results. Almost one third of our cases could had fetal repair as a treatment choice.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Meningomielocele
/
Doenças Fetais
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Pregnancy
Idioma:
Pt
Revista:
Arq Neuropsiquiatr
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Alemanha