Narendra Prasad Narsingh and Garima Agrawal
Page: 358-362 | Received 20 Aug 2024, Published online: 23 Sep 2024
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The aim of the present study was to study about clinical manifestations and surgical outcome in cases of spinal dysraphism in children coming to Dr. BRAMH/DKS SS Hospital, Raipur with the aim to improve the preventive and management strategy to provide a better outcome. The present study was conducted at Dr. Bhimrao Ambedkar Memorial Hospital/ DKS SS Hospital, Raipur on Patients attending OPD or emergency and admitted in Dr. BRAMH/DKS SS Hospital, Raipur for the period of one year. 35 patients were included in the study. The most common presentation of spinal dysraphism is in neonates (<1 Month) constituting 74.28%. The next common age group of presentation is infants (1 Month‐12 Month) constituting 14.28%. It least commonly presents in older age group, i.e., beyond 10 YEARS, constituting 2.85%. The incidence is higher in males (60%) when compared to females (40%).71.42% of mothers of affected children did not receive folic acid during pregnancy and only 28.57% of them received folic acid. Among the patients whose mothers did not take folic acid, 37.14% were females and 34.28% were males. This relation was found to be significant at p<.05. They present with complain of swelling in the back with or without associated neurological manifestations like motor weakness, sensory loss, neurogenic bladder, trophic ulcer. They are also associated with a plethora of bony deformities including CTEV, polydactyly, hip flexion contracture, calcaneous foot and scoliosis. The presence of occult disease represented by various cutaneous markers like hemangioma, dermal sinus, dermoid and hypertrichosis as noted in our study also needs to be paid heed to.
Narendra Prasad Narsingh and Garima Agrawal. To Study About Clinical Manifestations and Surgical Outcome in Cases of Spinal Dysraphism in Children Coming to Dr. Bramh/DksSs Hospital, Raipur with the Aim to Improve the Preventive and Management Strategy to Provide a Better Outcome.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.358.362
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.358.362