Treviño-Alanís MG, González-Cantú MN, Martínez-Menchaca HR, Rivera-Silva G

Language: Spanish
References: 5
Page: 124-126
PDF size: 135.91 Kb.

ABSTRACT

Spina bifida occulta is the most common mildest congenital disorder results from a spinous process congenital fusion trouble, the most common site is the lumbar region and it is rare a dorsal dysraphism. Because the spinal nerves are not usually involved, most patients have no neurological problems. It is essential to know this variety of dysraphism, thus not alarmed to observe it as a radiological finding, because many people who have this disease do not know it, as in this case. Clinical case. 20-year-old man admitted in Emergency for chest trauma; on physical examination, the patient showed no evidence of compromise or neural deficit. Chest radiography revealed a suspicious image of fracture located at the third thoracic vertebra. Thoracic MR showed a spina bifida occulta in third thoracic vertebra.

REFERENCES

1. Blom HJ, Shaw GM, den Heijer M, Finnell RH. Neural tube defects and folate: Case far from closed. Nat Rev Neurosci 2006; 7: 724.

2. Boone D, Parsons D, Lachmann SM, Sherwood T. Spina bifida occulta: Lesion or anomaly? Clin Radiol 1985; 36: 159-61.

3. Tseng JH, Kuo MF, Tu YK, Tseng MY. Outcome of untethering for symptomatic spina bifida occulta with lumbosacral spinal cord tethering in 31 patients: analysis of preoperative prognostic factor. Spine J 2008; 8: 630-8.

4. Li Y, Hou XY, Yuan ZW, Wang WL. Quantitative analysis of motor neurons of the levator ani muscle in fetal rats with spina bifida occulta. Surg Neurol 2009; 72: 652-6.

5. Buxton N. Neurosurgical management of spina bifida. Paediatr Child Health 2011; 21: 475.