Top
40
Doctor insights on: Spina Bifida In Adults

Share
1

1
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

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


3

3
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

See 2 more doctor answers
4

4
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

See 3 more doctor answers
5

5
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

6

6
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

7

7
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

8

8
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

See 1 more doctor answer
9

9
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

See 2 more doctor answers
10

10
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

See 1 more doctor answer
11

11
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

See 1 more doctor answer
12

12
Can Spina Bifida Occulta worsen and develop into Spina Bifida? My MRIs show severe issues in every level of my spine, but only the L5/S1 shows SBO

Can Spina Bifida Occulta worsen and develop into Spina Bifida? My MRIs show severe issues in every level of my spine, but only the L5/S1 shows SBO

No, the anatomical-: -variant has always been there & no need 2 worry. Also it has nothing to do with your complaints. It is usually found incidentally on X-rays. ...Read more

13

13
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

14

14
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

15

15
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

See 2 more doctor answers
16

16
Why do spina bifida patients have a myelomeningocele repair later?

Why do spina bifida patients have a myelomeningocele repair later?

Myelomeningocele: Usually the repair of a myelomeningocele is delayed several days after birth to ensure that the child is stable for surgery and to also get a better assessment of potential neurologic deficits. As an adult, some patients develop spinal cord symptoms from tethering of the spinal cord prompting a procedure to release the tension on the spinal cord. ...Read more

17

17
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

18

18
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

See 1 more doctor answer
19

19
What's the difference between spinal bifida and spinal bifida occulta?

What's the difference between spinal bifida and spinal bifida occulta?

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

20

20
Why is it that spina bifida patients have a myelomeningocele repair later in life?

Spina bifida: Myelomeningoceles are almost always repaired within the first couple of days of life. The exception to that is unavailability of a surgeon to do it young leading to a later repair. The other situation where the family does not want it repaired. ...Read more

21

21
Can somebody with spina bifida who has never needed a shunt need one as an adult?

Can somebody with spina bifida who has never needed a shunt need one as an adult?

Maybe.: Yes, it is possible. Consult with a neurosurgeon if you would like more information. ...Read more

22

22
Question for adults with spina bifida. Can they have loss of motor function or inability for orgasm if low?

Question for adults with spina bifida. Can they have loss of motor function or inability for orgasm if low?

Yes: Spina bifida oculta usually has no neurological deficit, norma, . 10% of population. Open & close spinal bifida usually will have motor and sensory deficit like para/quadriplegia, decrease sensation/orgasm, respiratory problem (due to chiari malformation . Intelligence usually not affected. ...Read more

See 1 more doctor answer
23

23
Who takes care of adult spina bifida after you leave the children's hospital team?

Who takes care of adult spina bifida after you leave the children's hospital team?

Neuro/Ortho Spine: Some pediatric neurosurgeons will follow their patients as adults so check with them. You may need a team to help with bladder, orthopedic, and neurologic problems. For patients with chiari or vp shunts, they will need to see a neurosurgeon to be assessed for concerns for headache, numbness, or weakness. Get referrals from your pediatric providers if possible. ...Read more

24

24
Can spina bifida occulta lead to tailbone pain problems in adults?

No: Spina bifida occulta by itself is an asymptomatic condition. However co-existence of other spinal anomalies can lead to back pain. ...Read more

25

25
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

See 2 more doctor answers
26

26
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

See 1 more doctor answer
27

27
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

28

28
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

29

29
Do you deal with spina bifida?

Yes: Yes, but rarely. This condition is not common and as a family physician, i see only what comes my way. Spina bifida is usually approached in a team concept, usualy dealing with a primary care doctor (pediatrician, family physician or internest) along with physical therapist, neurologists, neuro-surgeons, physiatrist (physical medicine specialists) and a host of others. There are many issues. ...Read more

See 4 more doctor answers
30

30
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

31

31
What are the tests for spina bifida?

What are the tests for spina bifida?

Spina bifida: Spina bifida is usually diagnosed by x-ray for MRI of the lower spine. In the new born it can also be done with an ultrasound. ...Read more

See 2 more doctor answers
32

32
Can you tell me what spina bifida means?

Split spine.: Spina bifida is a generic term used to describe congenital malformations of the spine (typically lower spine). It can be mild to very severe and be associated with a variety of conditions. ...Read more

33

33
What can you tell me about spina bifida?

Spina bifida: Spina bifida is a very generic term that covers a lot of disorders of the spine that occur at birth. These can range from defects in the spinal bone to loss of the muscle and skin covering leading to herniation of the spinal cord and roots. There are a wide variety of causes known. ...Read more

34

34
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

See 2 more doctor answers
35

35
How many forms of spina bifida are there?

How many forms of spina bifida are there?

Many: Embryonic development involves progressive closure of the neuro cord which becomes the spine. This closure may be slightly incomplete ( occult) or remain a cyst (meningomyelocele) or remain completely open. In some the pelvis and anus do not develop properly. Nerves to bladder, bowel, and legs may only partially develop. The brain may not develop properly, and hydrocephalus may develop. ...Read more

See 2 more doctor answers
36

36
How do you deliver baby with spina bifida?

As usual: Delivery of a neonate with spina bifida may require some special attention by the obstetrician, but usually the delivery progresses as normal and the spina bifida is addressed after delivery. ...Read more

See 1 more doctor answer
37

37
What is spina bifida and how is it caused?

Congenital: This is a failure of the bones to fuse at birth usually in the lower spine. Sometimes the nerves to the legs and bladder are also malformed. So in effect, you are born with it. ...Read more

38

38
How can spina bifida impact someone's life?

To what degree?: If you are talking about spina bifida occulta, there will be no impact. If you are talking about cases with neurologic symptoms, it depends on whether lower nerve roots (sacral) are involved or if spinal cord is involved. People with spinal cord lesions are more susceptible to life-altering events than are those without. ...Read more

See 1 more doctor answer
39

39
Could my nephew have spina bifida if I did?

Could my nephew have spina bifida if I did?

Unlikely: Spina bifida (there are several types) is associated with some known genetic defects however the majority of cases are spontaneous and most cases are more likely related to folate (folic acid) deficiency during pregnancy. The general answer is that this is unlikely to occur in your nephew. ...Read more

See 1 more doctor answer
40

40
How can occult spina bifida impact a persons life?

How can occult spina bifida impact a persons life?

No impact: Spina bifida occulta is manifested by a single defect: failure of the two laminae of a vertebra to achieve bony union with each other. Often times the spinous process is associated with one lamina. Rarely is the spinous process completely absent. The vertebra has normal strength, normal associated joints, ligaments, qnd disks plus no nerve root herniation or compression. Occult = symptom-free. ...Read more