Spina bifida

SPINAL DYSRAPHISM Deepak Agrawal Assistnat professor, Department of Neurosurgery & Gamma Knife, All India Institute of Medical Sciences, New Delhi

Neural Tube Development ,[object Object],[object Object],[object Object],[object Object]

Hypothesis ,[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TYPES OF SPINAL DYSRAPHISM ,[object Object],[object Object],[object Object],[object Object]

Types of Open NTD ,[object Object],[object Object],[object Object],[object Object]

Types of Closed NTD ,[object Object],[object Object],[object Object],[object Object]

Meningomyelocele ,[object Object],[object Object],[object Object],[object Object]

Lipomyelomeningocele ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TRANSISTIONAL LIPOMYELOMENINGOCELE

Neurological profile ,[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical problems in lipoma ,[object Object],[object Object],[object Object],[object Object]

Bony abnormalities in Lipoma ,[object Object],[object Object],[object Object],[object Object],[object Object]

Split cord Malformations-Incidence ,[object Object],[object Object],[object Object]

SCM-types ,[object Object],[object Object],[object Object],[object Object]

SCM ,[object Object],[object Object],[object Object]

1989-2007 ,[object Object],[object Object],[object Object],[object Object]

SCM-Clinical features ,[object Object],[object Object],[object Object],[object Object]

SCM-Cutaneous anomalies ,[object Object],[object Object],[object Object],[object Object],[object Object]

SCM-Neural anomalies ,[object Object],[object Object],[object Object],[object Object]

SCM- Osteo-skeletal anomalies ,[object Object],[object Object],[object Object]

INVESTIGATIONS ,[object Object],[object Object],[object Object]

INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object]

Rationale of surgery ,[object Object],[object Object],[object Object],[object Object]

WHEN TO OPERATE? ,[object Object],[object Object],[object Object]

Timing of surgery- Assoc hydrocephalus ,[object Object],[object Object],[object Object],[object Object]

Aim of Surgery ,[object Object],[object Object],[object Object]

Surgical steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]

Surgical adjuncts ,[object Object],[object Object],[object Object],[object Object],[object Object]

Surgical Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FACTORS INFLUENCE OUTCOME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONTROVERSIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Our Recommendations ,[object Object],[object Object],[object Object],[object Object]

Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

CONCLUSIONS ,[object Object],[object Object],[object Object],[object Object],[object Object]

Spina bifida

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Spina bifida