Occasionally
babies are born with a backbone which has an incomplete closing and the
membranes surrounding the spinal cord are left open. This condition is known as
spina bifida. There are three main types of this condition: meningocele, spina
bifida occulta and myelomeningocele. Most often the lower back is affected, but
there have been cases where the middle or the neck region was also without
complete closing. It is believed that spina bifida is caused by the combination
of certain environmental and genetic factors. If one of the parents is affected
or the first child has the condition, then here is a 4% chance that the next
child will also be affected.
Symptoms
There are
physical as well as neurological problems related to this condition. The
physical signs include:
- Abnormal movement of the eye
- Problem in controlling the bladder or the bowel
- Weakness in legs and also paralysis
- Skin irritations and pressure sores
- Orthopaedic abnormalities
Neurological
signs include impaired executive function, such as difficulty in working
memory, organising, planning and initiating. Problem solving skills are
lacking. Also most of the children perform poorly in their academics,
especially in mathematics and reading.
Prevention
There is no
way to prevent the condition entirely as there are many possible reasons for
its cause. But it has been observed that folic acid when given in the form of
dietary supplement, reduces the incidence of the condition. Leafy vegetables
and fruits, breakfast cereals, whole grains and dried beans are said to be
great sources of folic acid.
Treatment
Spina
bifida has no cure as of now, but the standard treatment is to have a surgery
soon after the delivery. The surgery prevents further damage to the nervous
tissue and also prevents infection by closing the opening present on the
child’s back. The spinal cord and its roots are put back and covered in
meninges.
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