Intresting image indeed

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IMG_20250603_003622_211
IMG_20250603_003622_2111026×625 60.7 KB

Question:
Identity the types of spina bifida aperta in the given images.

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A- meningocele
B- myelomeningocele

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A:- Meningocele
•Sac of fluid protrudes through an opening
in the spine, but the spinal cord is not
within the sac.

B:- Myelomeningocele
•Spinal cord and nerves are within the sac
and are damaged.
•Caused by an incomplete closure of the
spinal cord during fetal development.

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So Start with folic acid in early pregnancy!

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  1. Meningocele
  2. Myelomeningocele
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  1. Meningocele
  2. Myelomeningocele
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  1. Meningocele:
  • A protrusion of meninges (protective membranes) through a spinal defect.
  • Spinal cord remains in its normal position.
  1. Myelomeningocele:
  • A protrusion of both meninges and spinal cord through a spinal defect.
  • More severe than meningocele, often associated with neurological deficits.

Both conditions require surgical intervention and multidisciplinary care.

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meningocele and myelomeningocele

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Meningocele, Myelomeningocele

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Prevent NTDs:

Thus any woman who intends to become pregnant should start with folic acid 400 micrograms per day at least a month before becoming pregnant and should continue the same dose during early pregnancy.
Since many of the pregnancies are unintended, it’s best to say that any woman capable of getting pregnant should take 400 micrograms folic acid per day to prevent neural tube defects.

A question:
If there is a history of Neural tube defect in the previous pregnancy, how much folic acid this mother should take now (if planning pregnancy)?

#FolicAcid #NTDs #Perinatology

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A. Meningocle where a sac of fluid containing meninges
B. Ameningocle where the sac contains not only meninges

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A. Meningocele:
Spinal defect, sac, meninges, no neural tissue, mild symptoms.

B. Meningomyelocele:
Neural tube defect, spinal cord, meninges, severe, neurological deficits.

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Meningeoceal is a type of NTD ( neural tube defect)

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4000 mcg intake of folic acid for a pregnancy planning mother who have a history of neural tube defect in previous pregnancy.

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Absolutely! :+1::+1:

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If there is previous history of NTD then therapeutic dose of folic acid should be started 1 month before planning pregnancy
therapeuticdose of folic acid :400mg

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