Myelo Flashcards
What is myelomeningocele?
congenital defect where the neural arches are unfused
the meninges, CSF and SC protrude through dorsal defect
When (in development) does myelo occur?
very early on–embryonic phase
What are the three types of myelo?
spina bifida occulta
myelocele
myelomeningocele
What is spina bifida occulta?
small gap in bones of a spine
no external defect visible
What is myelocele?
meninges and CSF protrude through defect
neural tissue relatively undisturbed
What is the classification of myelomeningocele?
meninges, CSF and neural tissue present in sack
disturbance in sensory motor function below level of lesion
What are risk factors for myelo?
folic acid deficiency
family history
elevated body temp during pregnancy
poorly controlled diabetes
pre pregnancy obesity
What prenatal testing can be done for myelo?
maternal serum AFP testing
amniocentesis
ultrasound
What are the primary physical impairments of myelo?
muscle paralysis/paresis
upper limb weakness/dyscoordination may occur even with intact innervation
What are MSK deformities associated?
spinal and lower limb deformities
joint contractures
LE rotational deformities-hip dislocation and club foot
What are contributing factors to MSK deformities?
muscle imbalance
intrauterine positioning
coexisting congenital malformations
habitually assumed postures after birth
How many people develop bowel and bladder control?
<5%
What is the best way to manage lack of bowel and bladder control?
bowel programs
intermittent catheterization
What are potential secondary impairments?
impaired postural alignment
osteoporosis
hydrocephalus
What are signs and symptoms of shunt malfunction?
vomiting
irritability
headaches
lethargy
edema/redness along shunt tract
