oa Central African Journal of Medicine - Simultaneous cyst excision and lumbo-peritoneal shunting in myelomeningocele

Volume 34, Issue 7
  • ISSN : 0008-9176



Seven Nigerian children with lumbo-sacral myelomeningoceles received simultaneous excision of myelomeningocele and lumbo-peritoneal CSF diversion through the site of repair, using a simple silicone tube. The procedure was satisfactorily tolerated by all the children. In six cases, the hydrocephalus which accompany the spina bifida was adequately controlled. In all the children, the neuromuscular imbalance and sphincter disturbance associated with the dysraphic state appeared not to have been improved by the procedure. The potential of the combined treatment in preventing significant hydrocephalus in children with myelomeningocele is stressed.

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