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Type: Artigo de periódico
Title: Fetal Myelomeningocele And The Potential In-utero Repair: Follow-up Of 58 Fetuses [evolução De 58 Fetos Com Meningomielocele E O Potencial De Reparo Intra-útero]
Author: Sbragia L.
Machado I.N.
Braidos Rojas C.E.
Zambelli H.
Lopes Miranda M.
Bianchi M.O.
Barini R.
Abstract: Introduction: Prenatal diagnosis of myelomeningocele (MM) allows planning its management and, recently, a possible in utero repair. Objective: To describe the perinatal outcome of fetuses with MM, in a Fetal Medicine Unit, identifying possible candidates for the in utero surgical repair. Methodo: Retrospective and descriptive study of 58 cases of prenatally diagnosed MM, at CAISM-UNICAMP, from January 1997 to December 2001, identifying possible fetal candidates for in utero repair. Results: the diagnosis mean gestacional age was 29 weeks (17-39); level of lesions was above sacral region in 85%, association with hydrocephaly in 86%. Surgical complications were present in 39% of the neonates. During follow-up, 98% presented neurogenic bladder and 60% neurological/mental handicap. Twenty eight fetuses (42%) could have indication of in utero repair. Conclusion: MM is associated with severe and frequent poor results. Almost one third of our cases could had fetal repair as a treatment choice.
Citation: Arquivos De Neuro-psiquiatria. , v. 62, n. 2 B, p. 487 - 491, 2004.
Rights: aberto
Identifier DOI: 
Date Issue: 2004
Appears in Collections:Unicamp - Artigos e Outros Documentos

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