Meningo-spinal hernia
Meningioma hernia (MMC) is a gestational, congenital defect of the nervous system. It occurs in 1 in 2,000 live births, with a higher incidence in girls. Meningioma hernia in children involves the failure of the elements of the neural tube to close and grow together. This results in spina bifida and the formation of an opening into which the meningeal sac (meningeal hernia) or the meningeal sac of the spine with its roots and spinal cord (meningo-spinal hernia) can enter, or the skin can fail to close with the prominence of all these elements.
Meningeal hernia with its characteristic symptoms develops during the first weeks of fetal life. It is diagnosed prenatally on ultrasound or after the baby is born. It has a genetic basis, and its occurrence is influenced by the mother's intake of anticonvulsant drugs - carbamazepine and valproic acid derivatives, as well as folic acid deficiency during pregnancy. Infections, X-ray exposure, smoking or taking drugs during pregnancy can also contribute to the development of the defect. The risk of meningiomelonephric hernia can be lowered by folic acid supplementation in women planning pregnancy and during the first months of pregnancy.
Meningeal hernia - symptoms and treatment
The symptoms accompanying a meningeal hernia depend on its location and size. It most often occurs in the lumbar or lumbosacral region. It often manifests itself as a bump of various sizes on the back covered with thin skin. The lower the cleft appears on the lower spine and is less extensive, the better the child's chances for a normal life. Most often there is flaccid paralysis of the lower limbs leading to their deformity, as well as sphincter dysfunction. Often limb paresis forces the child to use a wheelchair. Hernia can also be accompanied by other defects, including hydrocephalus.
As for meningioma hernia, its complete cure is not possible. However, it is possible to mitigate the course of the disease and improve the patient's comfort through surgical treatment. Depending on the type of damage, various orthopedic surgeries are performed in pediatric or thopedics, which include: reconstructive surgery, Mustard surgery, hip removal and cosmetic foot surgery. As a result, meningioma hernia has a much better prognosis.
Not only is meningioma hernia surgery important, but also physiotherapy. It should support and stimulate the development of children, as well as increase the ability to move independently. It is important to properly select orthopedic and orthotic supplies to prevent deformities, contractures and pressure sores.
At the Paley European Institute, people with cerebrospinal hernia can count on both surgical treatment including limb reconstructions, as well as assistance with physiotherapy and orthotics. In milder cases of meningiometacarpal hernia, treatment allows people to live to adulthood and participate in social life despite various limitations. PEI's top-notch specialists ensure that patients achieve the greatest possible independence and quality of life.
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