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Original Article
Brief Report
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Volume 347:256-259 July 25, 2002 Number 4
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Dermoid Inclusion Cysts and Early Spinal Cord Tethering after Fetal Surgery for Myelomeningocele
Catherine A. Mazzola, M.D., A. Leland Albright, M.D., Leslie N. Sutton, M.D., Gerald F. Tuite, M.D., Ronald L. Hamilton, M.D., and Ian F. Pollack, M.D.

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by Jobe, A. H.

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Myelomeningocele occurs in approximately 1 of every 2000 live births.1 The prenatal incidence is higher, because many parents elect to terminate the pregnancy, once the diagnosis has been made.2 Myelomeningocele often results in permanent impairment, including loss of sensorimotor function in the legs, hydrocephalus, incontinence of bladder and bowel, skeletal deformity, and type II Chiari malformation (cerebellar [vermis] and medullary herniation and inferior displacement below the level of the foramen magnum). Advances in ultrasonography and ultrafast fetal magnetic resonance imaging (MRI) have made it possible to diagnose myelomeningocele and other neural-tube defects early, but much remains to be learned about . . . [Full Text of this Article]

Case Reports

In Utero Closure

Subsequent Evaluation and Treatment

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From the Departments of Neurosurgery (C.A.M., A.L.A., I.F.P.) and Pathology (R.L.H.), University of Pittsburgh and Children's Hospital of Pittsburgh, Pittsburgh; the Department of Neurosurgery, University of Pennsylvania School of Medicine and Children's Hospital of Philadelphia, Philadelphia (L.N.S.); and the Department of Neurosurgery, University of South Florida and All Children's Hospital, St. Petersburg, Fla. (G.F.T.).

Address reprint requests to Dr. Pollack at the Department of Neurosurgery, University of Pittsburgh, Children's Hospital, 3705 Fifth Ave., Suite 3705, 3rd Fl., Pittsburgh, PA 15213, or at ian.pollack@chp.edu.



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