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Antenatal Management of Spinal Dysraphism—2: Antenatal Surgery of Myelomeningocele

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Textbook of Pediatric Neurosurgery

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Abstract

Myelomeningocele (MM) is the most common neural tube defect, and is a lifelong, costly, and potentially limiting disease. Its treatment has changed over the years, mainly driven by the diagnostic tools available. After the advent of intrapartum ultrasound and magnetic resonance imaging (MRI), early studies showed the potential of antenatal treatment of MM to reduce the rate of hydrocephalus and improve motor levels, at the expense of incurring some maternal risks. The environment needed to perform antenatal treatment of MM is complex and meticulous; care should be taken in all aspects in order to minimize the risks to both the mother and fetus. This chapter describes our protocol for the antenatal closure of MM at our institution.

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Authors and Affiliations

  1. Neurosurgery Department, Hospital and Maternity Santa Joana, Federal University of São Paulo, São Paulo, Brazil

    Sergio Cavalheiro, Italo Capraro Suriano, Marcos Devanir Silva da Costa, Patricia Alessandra Dastoli & Jardel Nicacio Mendonça

  2. Obstetrics Department, Hospital and Maternity Santa Joana, Federal University of São Paulo, São Paulo, Brazil

    Antonio Fernandes Moron, Mauricio Mendes Barbosa, Hérbene Jose Milani, Stéphano Gomes Pereira Sarmento, Eduardo Santana & Felipe Favoretti Campamharo

  3. Department of Anesthesiology, Hospital and Maternity Santa Joana, São Paulo, Brazil

    Cid Kusano & Ione Vasconcelos de Albuquerque

  4. Department of Neurology and Neurosurgery, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil

    Tatiana Tais Sibov

Authors
  1. Sergio Cavalheiro
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  2. Antonio Fernandes Moron
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  3. Mauricio Mendes Barbosa
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  4. Italo Capraro Suriano
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  5. Hérbene Jose Milani
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  6. Marcos Devanir Silva da Costa
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  7. Patricia Alessandra Dastoli
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  8. Stéphano Gomes Pereira Sarmento
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  9. Jardel Nicacio Mendonça
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  10. Cid Kusano
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  12. Tatiana Tais Sibov
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  13. Eduardo Santana
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  14. Felipe Favoretti Campamharo
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Corresponding author

Correspondence to Sergio Cavalheiro .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

Section Editor information

  1. Davis; and Kaiser Permanente Hospitals of Northern California, University of California, Oakland, United States of America

    Dachling Pang

  2. Seoul National University, Seoul, Republic of Korea

    Kyu-Chang Wang

  3. Institute of Child Health, University College London, London, UK

    Dominic Thompson

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Cavalheiro, S. et al. (2017). Antenatal Management of Spinal Dysraphism—2: Antenatal Surgery of Myelomeningocele. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_118-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_118-1

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  • Print ISBN: 978-3-319-31512-6

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