J Res Clin Med. 2021;9(1): 8.
doi: 10.34172/jrcm.2021.008
  Abstract View: 299
  PDF Download: 245

Case Report

Clinical Manifestation and Initial Management of Newborn with Spina Bifida Aperta: a case report.

Indra Sandinirwan 1* ORCID logo, Wargian Hadisaputra 2

1 Department of Pediatrics, Hermina Hospital Sukabumi
2 Department of Neurosurgery, Hermina Hospital Sukabumi


Spina bifida is a birth defect that occurs due to the disruption of the formation of the neural tube with an incidence of 1–10 cases per 1000 live births. Spina bifida can appear as an occulta or aperta type, and the latter consists of meningocele, myelomeningocele, and myeloschisis. We reported a case of a term male newborn who was presented with lethargic, bradypnea, suction reflex abnormalities, and paralysis of lower extremities. A defect was found in the spine in the thoracolumbar region showed a placode with no meningeal and skin covering, suggestive of a myeloshisis. The patient was treated in the neonatal intensive care unit, was placed on non-invasive ventilation with successful weaning, parenteral nutrition, systemic antibiotics regimen, and wound care. The patient was consulted with a neurosurgeon and was subjected to an ultrasound examination of the head that led to hydrocephalus. After experienced clinical improvement and oral tolerance, the patient was allowed for discharged and scheduled for surgery.
Keywords: spina bifida, neural tube defects, birth defect
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Submitted: 05 Oct 2020
Revision: 07 Oct 2020
Accepted: 09 Oct 2020
ePublished: 21 Feb 2021
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