1 day baby home delivery, no maternity checkup diagnosis & treatment.

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Dx :- Encephalocele or Meningoencephalocele . Diagnosis :- Obtrusive deformities mark the presence of the condition and could be easily detected after the birth of an infant. Diagnosis, however, could be difficult in individuals with small defects such as in the nasal or forehead region. In addition to these anomalies, there are several growth and mental retardation issues that are commonly seen in the affected patients. Imaging studies, comprising of the computerized tomography (CT) and magnetic resonance imaging (MRI) may assist physicians to diagnose the small lesions, commonly found in the nasal region. Evaluation of the cerebrospinal fluid in the case of meningocele or encephalomeningocele can be performed by inserting a needle into it within the spinal canal. The test is done to determine the cause of increased pressure in the brain, which is due to hydrocephalus. It can also help in finding out the other related neurological abnormalities. Encephalocele Treatment :- The treatment of the congenital disorder depends on its type and severity. In this case surgical correction of the defect that develops in the skull of the neonates is the only technique to treat the condition. Large protrusions can be removed easily without any major loss in the developmental stages of the infants. The basis of the treatment is to close the defect in order to prevent infection and desiccation or drying of the brain. The non-functional cerebral tissues, lying outside the cranium are also removed. There is a high chance of nasal elongation or long nose deformity during a total craniofacial construction. In order to avoid this problem, proper surgery as well as management of the condition is highly essential. The steps that are usually followed during surgery involve: Repositioning of the protruding mass into the skull. Removal of the lumps. Correction of the deformities to reduce the pressure that would otherwise delay the normal development of the brain. Thanks a lot Dr. Juber Ahmed for this academic post.

Baby should be given combined immunisation against Tetanus.
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It's occipital meningo+/-myelocele and encephalocoele together.. neural tube defects.. poor prognosis for surgical correction.. So only supportive care can be given.. breastfeeding, immunisation, warmth and hygiene. insist for next pregnancy : regular ANC, periconceptional folic acid in secondary prophylaxis dosage and proper usg (if possible by fetal medicine expert)

It's scase of meningomyelocele occipital area. A type of NTD. Regular ANC visits wound have diagnosed it in 1st trimester only Prognosis is bad. Use of folic acid before & during 2st trimester can avoid NTD.

EXTENSIVE MENINGO--MYELOCELE. It is a Congenital Neural Tube Defect due to Folic Acid Deficiency. MENINGO--MYELOCELE with intact Sac. Needs MRI BRAIN & SPINAL CORD to R/O Extent of the lesion. Neurosurgeon opinion has to taken. Examination of Fundus.

yes an MRi will let us know the extent and neurosurgery intervention would be required
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Extensive meningo myelo and encephalocele with poor prognosis and surgical correction will not be successful

occipital encephalocele... surgical correction af MRI poor prognosis

occipital encephalocele... surgical correction af MRI poor prognosis

appears to be a large encehpalocele in the occipital region

occipital meningo myelocele

meningoencephalocele due lack of folic acid supplementation or consumption of NTD causing drugs like sod valproate, methotrexate.

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