Fetoscopic Surgery Followed by Caesarean Section Appears Beneficial for Postnatal Muscle Condition in Spina Bifida Aperta
A Heep, RJ Verbeek, R Cremer, N Maurits, J van der Hoeven, DA Sival · Zeitschrift für Geburtshilfe und Neonatologie · 2009 · Heft 04
Bibliografische Angaben
Zusammenfassung
Aims: Spina bifida aperta (SBA) is associated with neurological function loss caudal to the meningomyelocele (MMC). Fetoscopic coverage (FC) of SBA aims at decreasing the severity of neurological deficits by abbreviating exposure of the MMC to amniotic fluid irritants and stress forces. “Muscle Ultrasound Density (MUD)“ may serve as a clinical tool for non-invasive assessment of neuromuscular damage. High MUD being indicative for pathological muscle structure. Aim: To assess and compare postnatal dMUD between pre- and postnatally operated SBA patients. Materials and Methods: In 6 prenatally operated SBA fetuses…