Doctor insights on:
Sacral Dimple Newborn
Probably not: In general, postsacral dimples are found in babies and are related to a coccyx that is retroverted. I believe you probably have a pilonidal sinus. This can drain, get infected and lead to further issues that need to be addressed. I would recommend that it be evaluated. ...Read more
Stretched spine: Tethered cord syndrome is where the spinal cord is stretched because it failed to grow along with the rest of the spine. The cord is attached to the sacrum but as we grow as a child this attachment lengthens along with our body growing taller. When this does not happen, the cord stretches and this causes pain, weakness, and bowel/bladder problems. If very symptomatic, it requires surgery. ...Read more
If a sacral dimple is closed and is just a skin dimple, does this mean the child has a neural tube defect underneath?
Sacral dimple: Most of the time, sacral dimples are harmless and don't require any treatment. Rarely, a sacral dimple may indicate a serious underlying abnormality of the spine or spinal cord. To rule out any abnormality, your child's doctor may recommend an imaging test. If an abnormality is discovered, treatment depends on the underlying cause. ...Read moreSee 2 more doctor answers
Possible: Spinal herniation can be a type called spina bifida occulta. This is a congenital (birth defect) defect that goes undeteced your entire life. It can also be more. Sometimes this is found during other testing. Severe forms of spina bifida can be detected before birth. It has successfully been operated before a baby is born. ...Read more
Protruding disc l4-5 l5-s1 touching both s1 roots, indents thecal sac, neural narrowing. Is this a serious problem? Whats the estimated recovery time?
1 weeks: The umbilical cord usually falls off in the first 7-10 days. May take up to two weeks. If you were told to clean with alcohol, then do so once a day. Cleaning every diaper change with alcohol keeps it too clean and delays falling off.Once it falls off it will stink for a week or so. Then you can clean every change with alcohol. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Type of spina bifida: The mildest form of spina bifida is spina bifida occulta and is a small separation or gap in one or more of the vertebral bones of the spine. Most people with spina bifida occulta have no signs or symptoms because their spinal nerves are undamaged. Signs sometimes occur in the skin on top of the spinal defect, such as a clump of hair, a dimple, a birthmark, or a lump of fat. ...Read more
Spinal cord low: In fetal life, the spinal cord segments line up with the vertebral segments. As a child grows, the end of the cord rises. In a tethered cord, it is fixed in place and cannot rise. As a result the cord is put on stretch. Consequences include problems with bladder and bowel function when your would have expected toilet training would be completed. ...Read more
L5-s1 central disc protrusion encroaches both s1 nerve roots. L4-5 disc protrusion indents thecal sac. Right neural frontal narrowing at l4-5 l5-s1?
New granddaughter has spina bifida intrauterine will she have [email protected] 2013.Pulling on [email protected] l5
Difficult to know.: The extent of problems after delivery will depend on the extent of the defect and if it requires repair after delivery and how successful that repair is. Hopefully specialist managing her case could give your daughter some guidance. If baby is kicking legs actively in the womb then there is a better chance baby will have reasonable function after delivery. ...Read moreSee 1 more doctor answer
Is it uncommon to have an arachnoid cyst in the spinal canal in c-spine region?It's behind the spinal cord pushing it up,have congenitally small canal
It's: NOT COMMON but is seen in the entire slinal canal from the neck to lower back. It can be drained by an INTERVENTIONAL Radiologist and may or may not resolve permanently. A neurosurgical consultation is probably your next step.... Hope this helps! Dr Z ...Read more
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 moreSee 2 more doctor answers
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