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  • Congenital Disorders of the Spinal Cord

    In embryonic stage, neural tube is the precursor of the brain and spinal cord. The neural tube formation is a very complex process and its fusion occurs between day 21 to day 28 in early pregnancy. Anything abnormal with its fusion can lead to Neural tube defects or NTDs. 

    Causes of Congenital disorders

    These disorders account for the second most common defects that lead to severe disability. There causes include: 

    • Multiple genes

    • Nutritional factors

    • Environmental factors 

     Risk factors

     Following risk factors increases the chances of development of congenital abnormalities in embryonic stage:  

    • Family history 

    • Presence of other syndromes and chromosomal disorders 

    • Inadequate folate before and during pregnancy

    • Anti-epileptic therapy

     Classification of NTDs

     They can be classified into cranial and spinal defects depending upon the site of involvement or into open and closed depending upon the exposure of neural tissue.

     Cranial NTDs

    • Anencephaly

    • Encephalocele (meningocele or meningomyelocele)

    • Congenital dermal sinus

     Spinal NTDs

    • Spina bifida

    • Spina bifida occulta

    • Myelomeningocele 

    • Meningocele 

    • Congenital dermal sinus

    • Caudal agenesis

     Investigations for detecting congenital abnormalities

    During prenatal stage: Prenatal screening should be done to find any congenital abnormality. It should include: 

       
    • Ultrasound 

    • Measurement of maternal serum alpha-fetoprotein

    • Amniocentesis in cases of adequate ultrasound images 

    After birth: In cases where defects could not be detected in prenatal stage, following diagnostic tests may help to find the abnormalities after birth: 

       
    • MRI   

    • CT scan  

    • Ultrasound  

       

    Management of Congenital abnormalities

    Management of any kind of congenital abnormality depends upon the abnormality and its severity. In most of the cases, surgical intervention is required to fix the defect. 

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    Dr Shyam Sundar K

    MBBS , MS (Gen Surg), M.Ch. (Neuro) ReadMore
    Location

    Dr.Shyam Sundar Krishnan
    MBBS (Chennai), MS (Gen Surg), M.Ch. (Neuro)

    New No. 10, Old no 11, Parameswari Nagar,
    3rd Street, ADYAR,CHENNAI- 600 020,
    Tamil Nadu, India.

    +91 9952072279,+91 9962072279 shyamsundar_krishnan@yahoo.com
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