Spinal Bifida

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Definition

Open spinal dysraphism (Aka formerly spina bifida aperta or cystica):

  • Definition:
    • occurs when the cord and its covering communicate with the outside;
    • no skin or tissues cover the sac
  • Myelocele
  • Hemimyelomeningocele
  • hemimyelocele

Closed spinal dysraphism (formerly spina bifida occulta): occurs when the cord is covered by other normal mesenchymal elements

with subcutaneous mass
  • lipoma with dural defect
  • lipomyelomeningocele
  • lipomyelocele/lipomyeloschisis
  • terminal myelocystocele
    • Are rare
    • Characterised by syringocele (expansion of terminal central canal) herniating through a wide spina bifida and surrounded by a rostral meningocele.
  • Meningocele
    • Posterior meningocele
        • comprises 2.5% of CSD
        • consists of herniation of CSF-filled meningeal sac (may also contain nerve roots/filum but not spinal cord) through posterior spina bifida.
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without subcutaneous mass
  • posterior spina bifida (isolated defect of the posterior neural arch of vertebra)
  • intradural lipoma
  • filar lipoma
  • tight filum terminale
  • persistent terminal ventricle
  • disorders of midline notochordal integration