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Type: Artigo de periódico
Title: [fetal Myelomeningocele And The Potential In-utero Repair: Follow-up Of 58 Fetuses].
Author: Sbragia, Lourenço
Machado, Isabela Nelly
Rojas, Carlos Eduardo Braidos
Zambelli, Helder
Miranda, Márcio Lopes
Bianchi, Maria Otília
Barini, Ricardo
Abstract: Prenatal diagnosis of myelomeningocele (MM) allows planning its management and, recently, a possible in utero repair. To describe the perinatal outcome of fetuses with MM, in a Fetal Medicine Unit, identifying possible candidates for the in utero surgical repair. 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. the diagnosis mean gestational 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. MM is associated with severe and frequent poor results. Almost one third of our cases could had fetal repair as a treatment choice.
Subject: Adolescent
Fetal Diseases
Follow-up Studies
Retrospective Studies
Ultrasonography, Prenatal
Citation: Arquivos De Neuro-psiquiatria. v. 62, n. 2B, p. 487-91, 2004-Jun.
Rights: aberto
Identifier DOI: /S0004-282X2004000300020
Date Issue: 2004
Appears in Collections:Unicamp - Artigos e Outros Documentos

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