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Lecture 5c - Lecture 5 C Children with neurological...

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Lecture 5. C) Children with neurological disabilities – Spina Bifida and Hydrocephalus Introduction - A congenital midline defect of the spinal column in which one or more vertebrae fail to close during embryological development - Many children with SB have hydrocephalus (excessive accumulation of cerebrospinal fluid in the brain) - The prognosis is poorest for those with complete paralysis, hydrocephalus, and other congenital defects - Midline effects (clefts) failure of parts of the embryo to fuse completely - Evident by the end of the 4 th week of gestation - Severity is apparent at birth - Heredity and environment are interweaving factors - Can be detected prenatally Classification - Spina bifida cystica o Myelomeningocele: severest form; spinal cord and covering protrude; can be corrected with surgery but the neurological damage is irreversible The higher the cleft, the greater the damage (produce more paralysis and loss of sensation in the lower limbs) Kidney problems Incontinence o
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