Doctor insights on:
Spina Bifida Treatment In Adults
My wife was just diagnosed with spina bifida occulata (age 23). They said it's mild. Her tailbone hurts. What's the treatment for something like this?
Usually nerve block: Condition occurs in 10% of population and is not serious, should be treated conservatively, usually nerve block injections. ...Read more
Fetal surgery.: All interventions for open neural tube defects aim at preventing further neuronal loss and cannot restore damage already done. That is why fetal interventions can prove a major breakthrough in prenatally diagnosed cases: the fetal neuronal plasticity and ability to regenerate damaged tissues is such that a much better long-term outcome can be achieved. Http://women. Texaschildrens. Org/fetalcenter/. ...Read more
See or sew: If the meningocele is covered by intact skin and no neurologic deficits are present, maybe nothing need be done except to be careful about traumatizing the area (see). If neurologic deficits are present or overlying tissues are fragile or breached, then surgery is needed to repair and protect the area (sew). Consult a neurosurgeon for more details. ...Read more
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
Maybe.: Yes, it is possible. Consult with a neurosurgeon if you would like more information. ...Read more
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
Nope.: All interventions for open neural tube defects aim at preventing further neuronal loss and cannot restore damage already done. That is why fetal interventions can prove a major breakthrough in prenatally diagnosed cases: the fetal neuronal plasticity and ability to regenerate damaged tissues is such that a much better long-term outcome can be achieved. Http://women. Texaschildrens. Org/fetalcenter/. ...Read more
Hi, my nephew was born with spina bifida. His bowl and urinary movenents are not intact, no foot reflexes. Is there any way to cure this condition?
No: The damage to the spinal nerves occurred because of a developmental problem. There is no way to reverse this but there are many ways to make this a problem he can live with. Consult pediatric rehabilitation experts. Your pediatric neurosurgeon can direct you. ...Read more
I've got spina bifida andi was wondering since I don't have much feeling, how can I get an erection?
ED: Depending on the level and severity of your spina bifida, you may still be able to obtaing erections by several different methods: medications like viagra, (sildenafil) Cialis or levitra: penile injections, trimix or caverjet; vaccum erection device (ved), intraurethral suppositories (muse) and if everything fails, a penile prosthesis. ...Read more
What's a good way for someone in a wheelchair to lose weight? I don't eat much but I have spina bifida?
Food and exercise: Choosing the right foods is more important than eating small amounts of unhealthy and "fattening" foods. Speak to a registered dietitian about the best foods for you. Also, if you can get into a swimming pool for exercise, that would be healthy and helpful for you as well. ...Read more
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
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
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
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
Spina bifida: It would take a textbook to answer this question as they are many types and severity. In short spina bifida can be mild with no skin stigmata such as spina bifida occulta. To the more severe disorder where this is actual herniation of the spinal cord through the skin and muscle and again there are both mild and severe forms of this. ...Read more
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
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