Long Term Outcome of Meylomeningocele : Pain due to Tethered Cord and Its Treatment

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  • 脊髄髄膜瘤 (開放性二分脊椎) 患者の長期予後
  • ―脊髄係留による痛みとその対策について―

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<p>  Myelomeningocele is a malformation that occurs when closure of the neural tube is impaired during early pregnancy. The neural tissue remains open until birth. In most cases, repair of the open neural tissues and treatment of associated hydrocephalus is required during their infancy. However, this treatment does not end in infancy and is required for lifetime. After closure of myelomeningocele, due to adhesion of the repaired site, tethered cord syndrome appears as the patients grow older ; which include exacerbation of the bladder function, lower limb motor and sensory weakness, and especially, lower limb and back pains. It is important to know that these symptoms are reversible by untethering surgery. In order to improve the long-term outcome of patients with myelomeningocele, proper management of the symptoms due to tethered cord syndrome is imperative.</p>

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