Diastematomyelia
Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month of pregnancy, often before a woman even knows that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In spina bifida, the fetal spinal column doesn't close completely. There is usually nerve damage that causes at least some paralysis of the legs. In anencephaly, most of the brain and skull do not develop. Babies with anencephaly are usually either stillborn or die shortly after birth. Another type of defect, Chiari malformation, causes the brain tissue to extend into the spinal canal.The exact causes of neural tube defects aren't known. You're at greater risk of having an infant with a neural tube defect if youHave obesityHave poorly controlled diabetesTake certain antiseizure medicinesGetting enough folic acid, a type of B vitamin, before and during pregnancy prevents most neural tube defects.Neural tube defects are usually diagnosed before the infant is born, through lab or imaging tests. There is no cure for neural tube defects. The nerve damage and loss of function that are present at birth are usually permanent. However, a variety of treatments can sometimes prevent further damage and help with complications.NIH: National Institute of Child Health and Human Development
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Yes It is Spinal dyraphism, whereas diastomatomyelia is tethering of the spinal cord by a catilaginous or bony midline raphe ,leading to bowel ,bladder dysfunctional symptoms. MRI will confirm and is a must in this child.
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Diagnosis please.
Dr. Syam Sundar Patro2 Likes6 Answers - Login to View the image
M.64yrs. Pain lower abdomen. Blood in urine. Frequent urge to urinate 2 months.
Dr. Syam Sundar Patro0 Like5 Answers - Login to View the image
Complain pain and difficulty in movements of right ring finger *History* Fall on out stretched hand *Chief Complaints* Difficulty in movements of right ring fingure *Vitals* Stable *Investigations* X-ray attached *Diagnosis* Metacarpel fracture *Management* Done with orif with k wiring *History* Fall on out stretched hand *Chief Complaints* Difficulty in movements of right ring fingure *Vitals* Stable *Investigations* X-ray attached *Diagnosis* Metacarpel fracture *Management* Done with orif with k wiring
Dr. Yashavardhan T M1 Like4 Answers - Login to View the image
A 37yrs old female presented to casualty with fever, headache, and altered sensorium of 6 days duration. an episode of seizure At admission, She was Afebrile with a pulse rate of 110/min and a blood pressure recording of 100/70mmHg; her Glasgow Coma Scale score was 10 (E3M2V5). There were no petechiae or signs of bleeding over the skin or any mucosal surface. There was no focal neurological deficit and neurological examination was normal, including (absence of) signs of meningeal irritation. patient is on infusion Noradrenaline and vasopressin support.Kindly discuss the case and give your expert advice….
Dr. Prashant Vedwan1 Like2 Answers - Login to View the image
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