Improvement of motor function and decreased need for postnatal shunting in children who had undergone intrauterine myelomeningocele repair

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Abstract

Objective: To compare neuromotor development between patients who did and those who did not undergo intrauterine myelomeningocele repair. Methods: Children with myelomeningocele aged between 3.5 and 6 years who did undergo intrauterine repair (Group A, n=6) or not (Group B; n=7) were assessed for neuromotor development at both anatomical and functional levels, need for orthoses, and cognitive function. Results: Intrauterine myelomeningocele repair significantly improved motor function. The functional level was higher than the anatomical level by 2 or more spinal segments in all children in Group A and 2 children in Group B, with a significant statistical difference between groups (p<0.05). Five children in Group A and one in Group B were community ambulators. Conclusion: Despite the small sample, it was observed that an improvement of motor function and decreased need for postnatal shunting in the 6 children who had undergone intrauterine myelomeningocele repair.

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de Faria, T. C. C., Cavalheiro, S., Hisaba, W. J., Moron, A. F., Torloni, M. R., de Oliveira, A. L. B., & Borges, C. P. (2013). Improvement of motor function and decreased need for postnatal shunting in children who had undergone intrauterine myelomeningocele repair. Arquivos de Neuro-Psiquiatria, 71(9 A), 604–608. https://doi.org/10.1590/0004-282X20130104

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