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Doctor insights on: Preventing Spina Bifida

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Is spina bifida hereditary?

Is spina bifida hereditary?

Studies show that : the incidence of neural tube defects (NTD's) like open Spina Bifida would decrease by 70% if all women took 0.4mg of Folic Acid daily from menarche to menopause. However, this dose does not prevent NTD's in offspring of women with variations in several genes involved in folate (folic acid) & homocysteine metabolism. There are also inheritable genetic causes of NTD's that are not related to folate (folic acid) metabolism. ...Read more

Dr. Edward Smith
224 doctors shared insights

Spina Bifida (Definition)

A birth defect involving incomplete development of the spinal cord or its coverings. The exact cause of the condition is unknown, but a risk factor appears to be low levels of folic acid in a woman's body before ...Read more


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What defines a spina bifida as spina bifida occulta?

What defines a spina bifida as spina bifida occulta?

Skin covering: Spina bifida occulta, like open spina bifida, is a congenital malformation involving a problem with closing of the neural tube during development. However, there is not exposed neural tissue in spina bifida occulta. There can be tracts connecting the skin to the spinal cord, or lipomas or bands (tight filum) which can cause neurologic deficit. There can also be bony issues. ...Read more

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What causes meningocele / spina bifida?

What causes meningocele / spina bifida?

Genetics usually: Altho there is high correlation with genetics causing meningocele / spina bifida, drugs (especially chemotherapeutics) and low blood folate (folic acid) during gestation or abdominal / pelvic irradiation during pregnancy are known causes. ...Read more

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What is spina bifida?

What is spina bifida?

Spina Bifida: Spina bifida is a birth defect where the spine does not close around the spinal cord during development. This may be as small as a small gap between the 2 sides, with no buldging out of membranes or nerves, & no associated handicaps, to a large defect with part of the cord exposed outside the body, leading to paralysis and other neurological problems. Folic acid decreases the risk. ...Read more

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Later side afects of low spina bifida occulta? Incontinence?

Later side afects of low spina bifida occulta? Incontinence?

Possible: Spina bifida and occulta an be associated with urinary dysfunction. Incontinence and/or urinary retention can occur. Recommend further evaluation with urologist, urogynecologist or neuro-urologist. Additional testing can clarify causes such as urodynamic testing. ...Read more

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Nursing care plan for spina bifida occulta?

None needed: Spina bifida occulta is usually found as an incidental finding when evaluating the cause of back pain. unless there is an indication of bladder or bowel dysfunction related to a tethered spinal cord there is no need for a nursing care plan. ...Read more

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Who discovered spina bifida?

Although depictions : of people with Spina Bifida go back 12,000 years, Amsterdam's Dr. Nicholas Tulp named the disorder between 1618-1652. Dr. Giovanni Battista Morgagni an Italian, linked lower-limb deformity & hydrocephalus to Spina Bifida in 1761. Studies show that the incidence of NTD's could decrease by as much as 70% if all women were to take a daily Folic Acid supplement from menarche to menopause. ...Read more

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Chances of a woman with spina bifida having a baby with spina bifida?

Depends on genetics: The epidemiology of this is different depending on your race and culture and where you live. So it is mostly genetic and also dependent on if you have Folic Acid deficiency in your diet. ...Read more

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Later side afects of occult spina bifida?

Later side afects of occult spina bifida?

No: Spina bifida occulta results from failure of the two lamina of one vertebra to make a solid bony fusion. The defect is generally bisecting the spinous process vertically. No instability is present. No neurologic dysfunction is present because neural elements are not affected. But associated neurological problems which may be symptomatic are more common in association with spina bifida occulta. ...Read more

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Can there be meningocele in fetus without spina bifida?

Depends: This depends on how you define it. Meningoceles as they are commonly labeled originate anywhere from the neck down to the base of the spine and involve spina bifida. When a meningocele (bag of meninges) arises from the areas above the spine, it is more often labeled an encephalocoel because it usually has brain and meninges in it. ...Read more

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Is posterior cleft deformity of the sacrum also called spina bifida occulta?

Spina bifida: Spina bifida refers to a deformity or defect within the lumbosacral spine and yes a posterior cleft deformity would be a form of spina bifida. ...Read more

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Difference between fetal spina bifida and anencephaly?

Difference between fetal spina bifida and anencephaly?

Very different: Anencephaly is the abscence of a closed cranial cavity (head) and implies incomplete brain development/function. Essentially, anencephaly is being born without functioning brain. Spinal bifida is an incomplete closure of the neural tube. There is no implication of brain development or brain function. While there may be paralysis in spina bifida, the brain can function normally in many cases. ...Read more

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Nursing daignosis of spina bifida in neonate as pryority?

Nursing daignosis of spina bifida in neonate as pryority?

Do your homework: The site is not designed to be a shortcut to answer your homework. You need to read through your nursing texts, assimilate the information and come up with a list reflecting the jargon of your texts.Anything off the site will not fit your instructors requirements & they will know you took a shortcut. ...Read more

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How does folic acid prevent neural tube defects?

How does folic acid prevent neural tube defects?

NEURAL TUBE DEFECTS: Are one of the most common birth defects(1 in 1, 000 live births in this country). It is an opening in the spinal cord or brain that does not close properly. Folic acid and B12 help transport the necessary materials to make this happen normally. Folate (folic acid) is needed for production and maintenance of new cells, to make normal dna and rna. ...Read more

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What causes spina bifida? Is spina bifida caused by a spinal cord injury, or a chromosomal disorder?

What causes spina bifida? Is spina bifida caused by a spinal cord injury, or a chromosomal disorder?

Spina : Spina bifida is not an injury. It is a birth defect caused by failure of the nervous system to fully develop. When the embryo is forming, the nervous system starts out as a "neural tube" that is supposed to grow in a very specific way. If it does not, you are left with "neural tube defects" like spina bifida. There is nothing we know of that causes it for sure, but certain things make it more likely. It is more common with children that have trisomy 13, 18, or 21, but that is just an association, not a cause. They are very common, and the only thing we know of that might help prevent them is for the mother to take folate (folic acid). The hard part about that is the mother has to take folate (folic acid) very early in the pregnancy, often before she even knows she is pregnant. That is why the all women of child-bearing age are advised to take at least 0.4 mg of Folic Acid every day. ...Read more

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Is meningocele and spina bifida the same thing?

Is meningocele and spina bifida the same thing?

Related terms: Spina bifida is a fancy way to say that a spine segment or segments did not close along their backside. Meningocoel is a term for the spinal cord & elements that would balloon out the back if the spine did not close and contain them. People often use the term to describe a similar process. The most common location is at the base of the spine, but both could happen in the neck also. ...Read more

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What exercises are beneficial with for spina bifida occulta?

What exercises are beneficial with for spina bifida occulta?

Paraspinous strength: Isometric exercises to strengthen the paraspinous muscles. Swimming is excellent. ...Read more

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Are men with spina bifida less fertile?

Are men with spina bifida less fertile?

Maybe: It depends on the level of the spina bifida. Low lesions (sacral) can lead to loss of ejaculation. If the man is in a wheel chair, sperm quality can also be affected. Many treatment options are available with a male fertility specialist. ...Read more

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What are the chances of a woman with spina bifida having a baby with spina bifida.?

What are the chances of a woman with spina bifida having a baby with spina bifida.?

Spina bifida: A woman who has spina bifida has a 1 - 5% risk of having a baby with spina bifida. Taking Folic Acid at higher than usual amounts for at least two months prior to conception will decrease the risk of having a baby with spina bifida. ...Read more

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Old mom. Is closed spina bifida deformity a risk to offspring?

Old mom. Is closed spina bifida deformity a risk to offspring?

Is it simple?: Spina bifida includes a spectrum of anatomical problems ranging from the most severe (but fortunately rarest) called myelomeningocele wherein the coverings of the spinal nerve sac (dura & arachnoid) are absent allowing nerve roots to herniate sometimes through bony & skin defects to the outside world. Spina bifida occulta is most common & most benign-failure of 2 bones (lamina) to completely unite. ...Read more

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Is it possible to prevent spina bifida while pregnant?

Is it possible to prevent spina bifida while pregnant?

Yes: Folate (folic acid) supplementation before conception and during the 1st trimester can reduce this birth defect as well as some of the developing heart. A multi-vitamin will suffice. ...Read more

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What is spina bifida?

Spinal cord disorder: The spinal cord forms as an open tube that starts to close from the middle out to the two ends. The entire closure is done by about ten weeks. If the closure is not normal than a condition known as spina bifida occurs. Open spina bifida is when there is an opening in the spinal column to the skin. Closed spina bifida is when there is an opening in the spinal column but it has a thin cover. ...Read more

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What is spina bifida?

Spina Bifida: Spina bifida is a birth defect where the spine does not close around the spinal cord during development. This may be as small as a small gap between the 2 sides, with no buldging out of membranes or nerves, & no associated handicaps, to a large defect with part of the cord exposed outside the body, leading to paralysis and other neurological problems. Folic acid decreases the risk. ...Read more

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What are the signs of spina bifida?

Spina Bifida: Depends on the type; 1. Spina bifida occulta shows small gap in 1 or more of spinal bones, seen in newborn as a small dimple or birth mark or tuft of hair or fat collection. 2. Meningocele shows as bulging of meninges (sheath around spinal cord) through the opening in back. 3. Myelomeningocele is wider protrusion through several vertebrae, forming a large sac. This is most severe. ...Read more

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Are men with spina bifida less fertile?

Maybe: It depends on the level of the spina bifida. Low lesions (sacral) can lead to loss of ejaculation. If the man is in a wheel chair, sperm quality can also be affected. Many treatment options are available with a male fertility specialist. ...Read more

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What causes meningocele / spina bifida?

Genetics usually: Altho there is high correlation with genetics causing meningocele / spina bifida, drugs (especially chemotherapeutics) and low blood folate (folic acid) during gestation or abdominal / pelvic irradiation during pregnancy are known causes. ...Read more

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What is the reason someone gets spina bifida?

Spina Bifida: Combination of Genetic & Environmental risk factors, such as Family history of Neural tube defects & Folic acid deficiency, White or Hispanic race, Female sex, some anti-seizure medications taken during pregnancy such as Depakote, Obese Diabetic women who get pregnant & their Diabetes not controlled, & women who develop Fever during pregnancy. ...Read more

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Is meningocele and spina bifida the same thing?

Related terms: Spina bifida is a fancy way to say that a spine segment or segments did not close along their backside. Meningocoel is a term for the spinal cord & elements that would balloon out the back if the spine did not close and contain them. People often use the term to describe a similar process. The most common location is at the base of the spine, but both could happen in the neck also. ...Read more

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Why are there more cases of spina bifida in the uk?

Why are there more cases of spina bifida in the uk?

Genetics plus: The most important reason is genetic predisposition. However it is quite likely that unknown environmental causes are important. Known environmental causes of spina bifida are widespread and probably would be effective in many countries, not just the uk. ...Read more

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Can spina bifida cause your urine to have a foul odor?

Uti: Patients with spins vigils may have urinary tract abnormalities, including incomplete emptying of the bladder and vesico urethral reflux, which can lead to urinary tract infections. You should consult your doctor for evaluation and treatment as soon as possible. ...Read more

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What is the range of ability for people with spina bifida?

Missing information: Need to know the level of the Neural Tube Defect, other brain anomalies along with hydrocephalus, underlying genetic or other medical conditions, level of cognition, motor, bowel & bladder function, non-verbal learning disabilities with autistic-like signs & symptoms & so forth. See http://www.spinabifidaassociation.org/site/c.evKRI7OXIoJ8H/b.8028963/k.BE67/Home.htm ...Read more

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What is the difference between spina bifida and anencephaly?

The position: The developing brain and spinal cord go through a predictable pattern.The primitive neural tissue folds on itself to begin forming the spinal elements. It actually closes the fold starting in the middle and progresses toward the top and bottom. Like closing a zipper from the middle out. If the fold doesn't close at the tom, anencephaly develops. If it doesn't close at the bottom. Spina bifida. ...Read more

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I have occult spina bifida of s1? What problems over lifetime?

I have occult spina bifida of s1? What problems over lifetime?

Probably not much: Spina bifida oculta is often an x-ray finding that causes no major symptoms . However spina bifida can cause symptoms such as weakness of the legs and bladder problems and occasionally a characteristic loss of the sensation in the so called 'saddle' area. ...Read more

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What is the definition or description of: spina bifida repair?

Closure of defect: There are many degrees of spina bifida, but "repair" usually refers to closure of a myelomeningocele. In these infants, the spinal cord fails to close into a tube completely and remains open and attached to the skin on the back. It must be repaired within several days of birth by untethering the cord from the skin and constructing several layers to close. The defect. ...Read more

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What is the average life expectancy of a male with spina bifida?

What is the average life expectancy of a male with spina bifida?

Depends: It depends on whether we are talking about spinabifida occulta, meningocele or myelomeningocele. If we are talking about myelomeningocele it depends on how high the lesion is and whether or not there is an arnold-chiari malformation in the brain. ...Read more

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What would the life expectancy for a person with spina bifida be?

Depends: A lot depends on the presence of comorbidities. Some patients with spina bifida are wheel chair bound or have issues with bladder function. If these lower tract symptoms are present there is a higher risk of septic complications. With good care and good compliance there should be no limit. ...Read more

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Mild spina bifida getting worse. Could it be a circulation problem?

Please be specific: Spina bifida & circulation problems r not related. Problems associated with spina bifida are neurosurgical (back pain, nerve compression etc) orthopedic (gait, leg & foot broblems) or urologic (urinary incontince) & taken care of by specialists in those areas. Circulation problems r related to reduced blood flow to certain areas from spasm (raynaud's) kinked or compressed blood vessels & cause pain. ...Read more